Individual
STEFAN JAMES NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
726 VETERANS DR, CARENCRO, LA 70520-3619
(337) 565-4355
(337) 565-4357
Mailing address
726 VETERANS DR, CARENCRO, LA 70520-3619
(337) 565-4355
(337) 565-4357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09171
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09171
LA PHYSICAL THERAPY BOARD LICENSE NUMBER
LA
Enumeration date
09/30/2015
Last updated
09/30/2015
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