Detrick Lashae Winding, PTA

NPI #1336669878 in Ferriday, Louisiana

Provider Information

NPI Number: 1336669878
Entity Type: Individual
Name: Detrick Lashae Winding, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 26, 2017
Last Updated: Jun 26, 2017

Practice Location

Address: 110 SERIO BLVD.
City: Ferriday
State: Louisiana
ZIP Code: 71334
Phone: (318) 757-4030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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