| NPI | 1720085962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE HAYDEL TRAHAN Owner 985-876-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA PT1615) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA PT166) |
| 225200000X Physical Therapy Assistant (Licence: LA A3606) | |
| 225X00000X Occupational Therapist (Licence: LA Z11353) | |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 4574) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2008-05-27 |