| NPI | 1780637223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY WARD Provider 225-766-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: LA 08510R) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-05-02 |