SHREVEPORT AQUATIC AND LAND PHYSICAL THERAPY. LLC

SHREVEPORT, LA
NPI1134623457
Entity TypeOrganization
Authorized ContactAARON BLICK
CEO
214-295-6703
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2018-03-21
Last Update Date2018-05-11
Business Address
SHREVEPORT AQUATIC AND LAND PHYSICAL THERAPY. LLC
6969 FERN LOOP
SHREVEPORT, LA 71105-4159
Phone number: 214-295-6703
Mailing Address
SHREVEPORT AQUATIC AND LAND PHYSICAL THERAPY. LLC
6969 FERN LOOP
SHREVEPORT, LA 71105-4159
Phone number:
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