| NPI | 1932245610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY M STRANGE Clinical Director 225-603-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: LA 4044) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |