| NPI | 1861415945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D BOYD Physical Therapist 985-646-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 04736R) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |