NPI | 1760533483 |
---|---|
Entity Type | Organization |
Authorized Contact | AYODEJI O FAMUYIDE Director 225-248-0085 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2008-03-25 |