| NPI | 1790809028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KEITH SIMPSON Physical Therapist 504-374-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 01248) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2010-08-19 |