Individual
AHMAD MARWAN KASKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4405 AIRLINE DR, BOSSIER CITY, LA 71111-2058
(318) 747-5440
Mailing address
10007 WINDING RIDGE DR, SHREVEPORT, LA 71106-7685
(318) 564-6220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015947
GA
261QP2000X
Physical Therapy Clinic/Center
10544
LA
Other
Enumeration date
08/03/2020
Last updated
07/26/2022
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