Individual
LOVELY WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2309 S SERVICE RD W, RUSTON, LA 71270-3167
(318) 232-1969
(318) 232-1970
Mailing address
PO BOX 1377, WEST MONROE, LA 71294-1377
(318) 396-1969
(318) 961-9703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11486
LA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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