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1639672553
MICHAEL MARTY
SHREVEPORT, LA
NPI
1639672553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 07799)
Enumeration Date
2018-03-16
Last Update Date
2018-03-16
Business Address
Mr. MICHAEL MARTY PT, DPT
1400 LINE AVE
SHREVEPORT, LA 71101-4620
Phone number: 318-213-3810
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Mailing Address
Mr. MICHAEL MARTY PT, DPT
314 TANYARD TRCE
BENTON, LA 71006-9735
Phone number: 318-453-0387
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