Individual
GRETA SUSANNA SPENGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1405 W PRIEN LAKE RD, LAKE CHARLES, LA 70601-8391
(337) 245-1537
(337) 570-1213
Mailing address
1405 W PRIEN LAKE RD, LAKE CHARLES, LA 70601-8391
(337) 245-1537
(337) 570-1213
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07975R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07975R
LOUISIANA BOARD OF PHYSICAL THERAPY
LA
05
—
1V6112
—
LA
Enumeration date
10/07/2008
Last updated
12/19/2022
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