JUSTIN DESHAWN GRIGSBY

SHREVEPORT, LA
NPI1326480849
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  07818)
Enumeration Date2013-07-25
Last Update Date2013-07-25
Business Address
Mr. JUSTIN DESHAWN GRIGSBY DPT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
Mr. JUSTIN DESHAWN GRIGSBY DPT
5754 GOLD CREST DR
BOSSIER CITY, LA 71112-8817
Phone number: 318-221-8411