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Individual

VALERIE WOOTEN BARCELONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT, PCS

Contact information

Practice address
130 KAYLA STREET, SHREVEPORT, LA 71105
(318) 210-8905
Mailing address
130 KAYLA ST, SHREVEPORT, LA 71105-4212
(318) 210-8905

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
08054
LA

Other

Enumeration date
12/11/2017
Last updated
12/11/2017
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