Individual
MR. STEVEN PERRY THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
10253 PEACH ORCHARD RD, BASTROP, LA 71220-6721
(318) 381-2491
Mailing address
10253 PEACH ORCHARD RD, BASTROP, LA 71220-6721
(318) 381-2491
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8135
LA
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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