NPI | 1750442844 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN L LEBEAU General Manager 225-753-9491 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: LA 25283056) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2006-12-12 |
Last Update Date | 2016-12-01 |