Organization
SPECIALISTS HOSPITAL OF LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SAMUEL NASH (PHYSICAL THERAPIST)
(318) 213-3810
Entity
Organization
Contact information
Practice address
1500 LINE AVE STE 105, SHREVEPORT, LA 71101-4639
(318) 213-3800
Mailing address
1500 LINE AVE STE 105, SHREVEPORT, LA 71101-4639
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
08022
LA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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