| NPI | 1629590955 | 
|---|---|
| Doing Business As | JUDICE SPORTS AND REHAB | 
| Entity Type | Organization | 
| Authorized Contact | GREGORY CHARLES JUDICE Owner/Physical Therapist 225-505-6659  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO 2014027053)  | 
| Enumeration Date | 2017-07-07 | 
| Last Update Date | 2017-07-18 |