ANGELA BREWER

SHREVEPORT, LA
NPI1295136141
Other NameANGELA ASHWORTH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: LA  A8915R)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: TX  2106326)
Enumeration Date2014-09-10
Last Update Date2016-11-27
Business Address
-- ANGELA BREWER
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2970
Mailing Address
-- ANGELA BREWER
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2970