| NPI | 1780621326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E REED Physician 318-435-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-11-07 |