Individual
JEFFREY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 CLAIBORNE AVE, SHREVEPORT, LA 71103-4204
(318) 813-2970
(318) 813-2975
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 813-2962
(318) 813-2981
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4669
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174173
—
LA
Enumeration date
03/23/2018
Last updated
03/23/2018
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