| NPI | 1639441371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY MCLEMORE BLAYLOCK Owner 318-348-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: LA OTA.200086) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |