| NPI | 1811166150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E. CLARK Owner 225-766-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA 08015R) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2011-09-09 |