| NPI | 1639371545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H KENT Owner 318-201-9282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 04299R) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2020-08-22 |