| NPI | 1740483999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY SAMUEL MORELLA Physical Therapist Owner 985-385-5172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA PT0390) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2015-03-13 |