| NPI | 1649667445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE KNIGHT Billing / Office Manager 985-732-1651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 06707) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2020-09-02 |