NPI | 1942267018 |
---|---|
Entity Type | Organization |
Authorized Contact | ELAINE BOUDREAUX Office Manager 318-387-4973 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
Enumeration Date | 2006-05-01 |
Last Update Date | 2016-10-13 |