Individual
RICHARD A TUBRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8835 LINE AVE STE 100, SHREVEPORT, LA 71106-6731
(318) 681-5633
(318) 681-5685
Mailing address
PO BOX 5477, SHREVEPORT, LA 71135-5477
(318) 681-5633
(318) 681-5685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04992
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2140213
—
LA
Enumeration date
11/03/2010
Last updated
07/29/2019
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