| NPI | 1700885183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA PAULI DANNENFELSER Office Manager 985-893-8875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA LA1198) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |