MR. Rennie Mira

NPI #1083949440 in Alexandria, Louisiana

Provider Information

NPI Number: 1083949440
Entity Type: Individual
Name: MR. Rennie Mira
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Oct 2, 2009
Last Updated: Oct 2, 2009

Practice Location

Address: 2006 GUS KAPLAN DR
City: Alexandria
State: Louisiana
ZIP Code: 71301-3376
Phone: (318) 487-5020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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