NPI | 1952786956 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT BOLTON Physical Therapist 225-757-6133 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 06800) |
Enumeration Date | 2015-07-21 |
Last Update Date | 2015-07-28 |