| NPI | 1811004211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JANANI CEO 225-926-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: LA 194516) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA OTT.200079) |
| 225100000X Physical Therapist (Licence: LA PT07341) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2012-02-08 |