Individual
DETRICK LASHAE WINDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
110 SERIO BLVD., FERRIDAY, LA 71334
(318) 757-4030
(318) 757-4031
Mailing address
110 SERIO BLVD., THERAPY DEPT., FERRIDAY, LA 71334
(318) 757-4031
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A09703
LA
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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