Red River Recovery & Physical Therapy
Clinic/Center, Physical Therapy in Shreveport, LA. Organization (NPI-2).
NPI number1962825331
StatusActive
Last updated in NPPESJan 21, 2014
Details
- NPI
- 1962825331
- Entity type
- Organization (NPI-2)
- Legal business name
- Red River Recovery & Physical Therapy
- Organization subpart
- No
- Enumeration date
- Jan 21, 2014
- Last updated
- Jan 21, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 08371 | LA | Yes |
Practice location
2539 E. 70th StShreveport, LA 71105
Phone 318-364-7741
Mailing address
440 McCormick StShreveport, LA 71104-5014
Authorized official
Elizabeth M Hansen
Physical Therapist/Owner
3183647741
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