| NPI | 1982825774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HARRIS Manager 985-449-0944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |