Individual
DOROTHY P PHELPS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 429-5727
Mailing address
9403 LEASIDE WAY, SHREVEPORT, LA 71118-3615
(318) 221-8411
(318) 429-5727
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5163
LA
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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