Individual
MR. JIMMY WAYNE HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P. T.
Contact information
Practice address
2204 BENTON RD, BOSSIER CITY, LA 71111-3404
(318) 747-2200
(318) 747-2255
Mailing address
2204 BENTON RD, BOSSIER CITY, LA 71111-3404
(318) 747-2200
(318) 747-2255
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
03204
LA
Other
Enumeration date
10/20/2006
Last updated
03/05/2012
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