| NPI | 1780254227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN RYNICK Joint Owner 504-708-9164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |