Individual
DEBORAH BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 SAMFORD AVE, SHREVEPORT, LA 71103-4239
(318) 226-3329
(318) 424-7610
Mailing address
3100 SAMFORD AVE, SHREVEPORT, LA 71103-4239
(318) 226-3329
(318) 424-7610
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
00651
LA
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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