| NPI | 1821254079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEDY MANUEL Director 225-769-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 03638F) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA PT01345F) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2013-08-20 |