| NPI | 1972840544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD TRUITT JANNEY Director, Physical Therapist 225-337-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |