| NPI | 1902225824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE CALLABA Owner 337-540-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA PT04405) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |