LYDIA PROTHRO

SHREVEPORT, LA
NPI1902386915
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: LA  A10065R)
Enumeration Date2018-08-19
Last Update Date2018-08-19
Business Address
Mrs. LYDIA PROTHRO PTA
6969 FERN AVE LOOP
SHREVEPORT, LA 71105-4159
Phone number: 318-383-0022
Mailing Address
Mrs. LYDIA PROTHRO PTA
324 CAMDEN HL
HAUGHTON, LA 71037-8779
Phone number: 318-347-0797
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