| NPI | 1669524195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | P.J. LANDERS Doctor Of Physical Therapy 985-809-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA PT04633) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-10-12 |