KEITH CALVIN CRNKOVIC

BOSSIER CITY, LA
NPI1528684891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  10634R)
Enumeration Date2020-06-22
Last Update Date2020-06-23
Business Address
KEITH CALVIN CRNKOVIC DPT
2122 AIRLINE DR STE 200
BOSSIER CITY, LA 71111-3270
Phone number: 318-828-1450
Mailing Address
KEITH CALVIN CRNKOVIC DPT
7607 FERN AVE STE 704
SHREVEPORT, LA 71105-5744
Phone number: 318-828-1450
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