Individual
BRYAN RUSSELL CROWDER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
442 E FRENCHMANS BEND RD, MONROE, LA 71203-8852
(318) 503-9789
Mailing address
202 LOST RIVER LNDG, WEST MONROE, LA 71291-2161
(318) 355-0583
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08304
LA
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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