Sports Orthopedic & Spine Therapy of Louisiana, LLC

NPI #1104393743 in Haughton, Louisiana

Provider Information

NPI Number
1104393743
Entity Type
Organization
Organization Name
Sports Orthopedic & Spine Therapy of Louisiana, LLC
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Nov 1, 2018
Last Updated
Nov 1, 2018

Practice Location

Address
169 BENT TREE LOOP
ZIP Code
71037-9085
Phone
(318) 745-9168

Authorized Official

Name
MARK GREEN, PT
Title
OWNER-MANAGER
Phone
(318) 745-9168

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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