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Individual

ASHLEY BREED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8622 LINE AVE, SHREVEPORT, LA 71106-6108
(318) 868-4126
Mailing address
509 MARKET ST APT 707, SHREVEPORT, LA 71101-5094
(225) 955-4330

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A10418R
LA

Other

Enumeration date
03/16/2021
Last updated
03/16/2021
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