NPI | 1649399551 |
---|---|
Doing Business As | NEW BACK MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | TERRI W BLOUIN Insurance Supervisor 985-653-8903 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: LA 415) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2009-08-26 |