| NPI | 1871637850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK WILLIAM LOPEZ Owner 337-475-7598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: LA 9855R) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |