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 |