| 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 |