| NPI | 1902378987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOEL BOLTON Owner/Physical Therapist 225-931-8269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2019-01-01 |