| NPI | 1982470316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH WALLER President/Physical Therapist 337-263-3795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |