Individual
LISA D. SELMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT, CWS
Contact information
Practice address
510 E STONER AVE, PM&RS (117), SHREVEPORT, LA 71101-4243
(318) 424-6014
(318) 429-5727
Mailing address
510 E STONER AVE, PM&RS (117), SHREVEPORT, LA 71101-4243
(318) 424-6014
(318) 429-5727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04138
LA
Other
Enumeration date
06/05/2006
Last updated
07/11/2007
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