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1871923219
SAMANTHA THIEMANN
SHREVEPORT, LA
NPI
1871923219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 06688)
Enumeration Date
2013-11-21
Last Update Date
2013-11-21
Business Address
SAMANTHA THIEMANN PT, DPT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
SAMANTHA THIEMANN PT, DPT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Copy
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