RUSSELL WARREN HEARNE

DERIDDER, LA
NPI1508369737
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  09007R)
Enumeration Date2018-03-14
Last Update Date2018-03-14
Business Address
Dr. RUSSELL WARREN HEARNE PT,DPT
192 HIGHWAY 3226
DERIDDER, LA 70634-8915
Phone number: 936-465-6282
Mailing Address
Dr. RUSSELL WARREN HEARNE PT,DPT
1920 CAMPFIRE RD
LAKE CHARLES, LA 70611
Phone number: 936-465-6282
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