| NPI | 1710612064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE E DESSENS Owner 318-704-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2024-05-15 |