MADISON STRAIN BLACK

COLUMBIA, LA
NPI1962046839
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: LA  A09810)
Enumeration Date2019-11-04
Last Update Date2019-11-04
Business Address
MADISON STRAIN BLACK
7726 HIGHWAY 165
COLUMBIA, LA 71418-3322
Phone number: 318-649-9826
Mailing Address
MADISON STRAIN BLACK
239 SLAY RD
OLLA, LA 71465-6540
Phone number: 318-550-7841
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