| NPI | 1700446846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY JAMES LAMKIN President/Managing Member 337-484-3056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-10-22 |