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Individual

DR. DIANNA LYNN WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT, PCS

Contact information

Practice address
2226 MURPHY ST, SHREVEPORT, LA 71103-2549
(318) 603-6784
Mailing address
9882 LOVELAND CT, SHREVEPORT, LA 71106-7794
(318) 347-1829

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
01919-R
LA
225100000X
Physical Therapist
1544
OK
2251P0200X
Pediatric Physical Therapist
Primary
01919-R
LA
2251P0200X
Pediatric Physical Therapist
1544
OK

Other

Enumeration date
08/12/2012
Last updated
04/12/2021
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