Individual
REBECCA TYLER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
663 JORDAN ST, SHREVEPORT, LA 71101-4748
(318) 222-8892
(182) 228-8933
Mailing address
663 JORDAN ST, SHREVEPORT, LA 71101-4748
(318) 222-8892
(318) 222-8893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007900
LICENSE#
CT
Enumeration date
04/13/2007
Last updated
01/12/2022
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