Individual
MEAGAN SCHWENNEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
120 LEO AVE, SHREVEPORT, LA 71105-3316
(407) 538-4992
Mailing address
120 LEO AVE, SHREVEPORT, LA 71105-3316
(407) 538-4992
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7924
LA
225200000X
Physical Therapy Assistant
PTA 24928
FL
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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