Individual
ELIZABETH WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
812 ROCHEL DR, SHREVEPORT, LA 71115-3870
(318) 426-6991
Mailing address
812 ROCHEL DR, SHREVEPORT, LA 71115-3870
(318) 426-6991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02212
LA
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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