| NPI | 1750684395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY HEBERT Office Manager 337-678-1063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: LA Z10283) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2011-06-14 |