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1174567564
TIMOTHY MARK HART
BOSSIER CITY, LA
NPI
1174567564
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Professional Name
T MARK HART
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 03778R)
Enumeration Date
2006-06-15
Last Update Date
2019-01-10
Business Address
Mr. TIMOTHY MARK HART PT
2906 PLANTATION DR
BOSSIER CITY, LA 71111-5851
Phone number: 318-746-5295
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Mailing Address
Mr. TIMOTHY MARK HART PT
8660 FERN AVE STE 160
SHREVEPORT, LA 71105-5694
Phone number: 318-631-7999
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