Individual
PATRICK VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5000 BENTON RD STE 1, BOSSIER CITY, LA 71111
(318) 218-6652
Mailing address
5000 BENTON RD STE 1, BOSSIER CITY, LA 71111-6234
(318) 584-7025
(318) 703-6885
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04103
LA
Other
Enumeration date
01/24/2018
Last updated
05/18/2018
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