| NPI | 1699049635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD T JANNEY Owner 225-791-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA PT 01442) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-06-11 |