| NPI | 1891786711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM MARGAGLIO President 337-291-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: LA 0790402001) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2021-07-16 |