| NPI | 1699719054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA O ROY Office Manager 337-616-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-22 |