| NPI | 1699116103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JAMES SULLIVAN Owner/Rehabilitation Therapist 318-359-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |