| NPI | 1811133093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN T SOWELL PT/Owner 318-219-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 03183) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2009-03-12 |