Individual
MR. KEVIN THOMAS SOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
457 ASHLEY RIDGE BLVD STE B, SHREVEPORT, LA 71106-7229
(318) 219-7737
(318) 219-7739
Mailing address
457 ASHLEY RIDGE BLVD STE B, SHREVEPORT, LA 71106-7229
(318) 219-7737
(318) 219-7739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03183
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03183
STATE LICENSE
LA
Enumeration date
03/20/2007
Last updated
12/22/2008
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