Individual
ALYSSA G. GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3630 FRONT ST, WINNSBORO, LA 71295-2224
(318) 367-0604
(318) 367-2678
Mailing address
3630 FRONT ST, WINNSBORO, LA 71295-2224
(318) 367-0604
(318) 367-2678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09573
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09573
PHYSICAL THERAPY LICENSE
LA
Enumeration date
04/17/2018
Last updated
10/04/2018
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