| NPI | 1629148002 |
|---|---|
| Former Legal Business Name | KENNER ORTHOPEDIC & SPORTS THERAPY |
| Entity Type | Organization |
| Authorized Contact | CRAIG M GOODWIN President 504-443-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2014-04-03 |