Individual
REGINA ROE MCPHEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
5024 CUT OFF RD STE B, COUSHATTA, LA 71019-5116
(318) 932-7926
(318) 932-7946
Mailing address
PO BOX 558, COUSHATTA, LA 71019-0558
(318) 932-7926
(318) 932-7946
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07549R
LA
Other
Enumeration date
02/25/2013
Last updated
07/15/2013
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