| NPI | 1699839944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA M MUSLOW - HICKS Interim CEO 318-698-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XL0004X Occupational Therapist, Low Vision |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2022-07-20 |