Individual
HAILEY VERONIKA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
266 PATTON AVE, SHREVEPORT, LA 71105-3041
(318) 880-3228
Mailing address
266 PATTON AVE, SHREVEPORT, LA 71105-3041
(318) 880-3228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11188
LA
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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