| NPI | 1861665069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GEORGE VOULOUKOS Owner 337-288-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1171568) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |