Individual
ERIN MCCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1450 CLAIBORNE AVE, SHREVEPORT, LA 71103-4204
(318) 813-2970
(318) 813-2981
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 813-2970
(318) 813-2981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09423R
LA
225100000X
Physical Therapist
09423R
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174173
—
LA
Enumeration date
07/14/2016
Last updated
11/07/2022
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