Individual
MRS. TIFFANY ENGLE AVINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
9819 PENNINE CT, SHREVEPORT, LA 71118-4841
(318) 671-9034
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06620
LA
Other
Enumeration date
08/23/2007
Last updated
06/09/2020
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