| NPI | 1669605721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEDA KAYE COLVIN Manager/Doctor 504-319-8578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA MD019520) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2011-07-15 |