| NPI | 1992250427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WADE COLLINS President 318-680-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: AR PT2750) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |