Individual
SHEA V REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
902 E MAIN ST, SAN AUGUSTINE, TX 75972-2316
(936) 275-2055
Mailing address
556 FRIENDSHIP RD, ROBELINE, LA 71469-5619
(318) 332-6526
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2084020
TX
225200000X
Physical Therapy Assistant
A4232
LA
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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