Individual
MRS. CASEY GLASGOW DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2575 AIRLINE DR, BOSSIER CITY, LA 71111-5812
(318) 459-7520
Mailing address
4137 PERIWINKLE LN, BENTON, LA 71006-8413
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03214
LA
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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