| NPI | 1912931437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS PURVIS Administrator/Owner 225-663-8239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-05-22 |