Individual
GARRETT ADIN DINICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
820 JORDAN ST STE 150, SHREVEPORT, LA 71101-4529
(318) 222-7442
(318) 424-4751
Mailing address
820 JORDAN ST STE 150, SHREVEPORT, LA 71101-4529
(318) 222-7442
(318) 424-4751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10334
LA
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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