NPI | 1699055475 |
---|---|
Entity Type | Organization |
Authorized Contact | BEAU J BAGLEY Owner 504-237-1430 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA 14743R) |
Enumeration Date | 2011-08-24 |
Last Update Date | 2013-03-30 |