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ANJELIQUE VIA LILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
2601 FERRAND ST, MONROE, LA 71201-3212
(318) 387-4973
(318) 322-4093
Mailing address
2601 FERRAND ST, MONROE, LA 71201-3212
(318) 387-4973
(318) 322-4093

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04118
LA

Other

Enumeration date
05/01/2006
Last updated
12/03/2009
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