| NPI | 1770934986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CANCIENNE Owner / PT 985-703-0944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2023-09-29 |