Individual
BRENDA B FORESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3016 JACKSON ST, ALEXANDRIA, LA 71301-4743
(318) 445-4455
(318) 445-5574
Mailing address
3016 JACKSON ST, ALEXANDRIA, LA 71301-4743
(318) 445-4455
(318) 445-5574
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8673
LA
Other
Enumeration date
02/19/2018
Last updated
06/16/2018
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