| NPI | 1992008486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA L MILLER Administrator 337-478-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: LA 1363) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |