Individual
MR. TIMOTHY MARK HART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2906 PLANTATION DR, BOSSIER CITY, LA 71111-5851
(318) 746-5295
(318) 746-5297
Mailing address
8660 FERN AVE STE 160, SHREVEPORT, LA 71105-5694
(318) 631-7999
(318) 631-9528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03778R
LA
Other
Enumeration date
06/15/2006
Last updated
01/10/2019
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