Individual
ALESIA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 E FLOURNOY LUCAS RD, SHREVEPORT, LA 71115-3906
(318) 213-3500
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07899R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02224
LICENSE #
MO
Enumeration date
08/23/2006
Last updated
11/17/2017
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