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1124414107
DAVID BARRY
SHREVEPORT, LA
NPI
1124414107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA a5164)
Enumeration Date
2015-04-07
Last Update Date
2015-04-07
Business Address
Mr. DAVID BARRY PTA
9809 HEARTHSIDE CIR
SHREVEPORT, LA 71118-4830
Phone number: 318-393-1916
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Mailing Address
Mr. DAVID BARRY PTA
9809 HEARTHSIDE CIR
SHREVEPORT, LA 71118-4830
Phone number: 318-393-1916
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