Individual
DR. ETHAN LOFTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1311 GAUSE BLVD, SLIDELL, LA 70458-3015
(985) 649-6577
(985) 649-7615
Mailing address
1311 GAUSE BLVD, SLIDELL, LA 70458-3015
(985) 649-6577
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
7839
LA
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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