Individual
LISA HELEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5024 CUT OFF RD STE B, COUSHATTA, LA 71019-5116
(318) 932-7926
(318) 932-7946
Mailing address
710 MOSS POINT RD, HEFLIN, LA 71039-3146
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01242
LA
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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