Shreveport Aquatic and Land Physical Therapy. LLC

NPI #1134623457 in Shreveport, Louisiana

Provider Information

NPI Number
1134623457
Entity Type
Organization
Organization Name
Shreveport Aquatic and Land Physical Therapy. LLC
Primary Specialty
Physical Therapist
Enumeration Date
Mar 21, 2018
Last Updated
May 11, 2018

Practice Location

Address
6969 FERN LOOP
ZIP Code
71105-4159
Phone
(214) 295-6703

Authorized Official

Name
AARON BLICK
Title
CEO
Phone
(214) 295-6703

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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