| NPI | 1831173657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN L RICHARDSON Owner/Physical Therapist 318-728-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA LA # Z11998) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA LA #03589) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2025-09-11 |