| NPI | 1710558127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA L. PROFFITT President 337-233-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2024-10-02 |