| NPI | 1679715981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE N MEYERS Office Manager 985-792-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 04135) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2015-06-09 |