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Individual

MRS. EMILY R ROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2820 HEARNE AVE, SHREVEPORT, LA 71103-3934
(318) 631-7999
(318) 631-9528
Mailing address
2820 HEARNE AVE, SHREVEPORT, LA 71103-3934
(318) 631-7999
(318) 631-9528

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07039R
LA
2251P0200X
Pediatric Physical Therapist
07039R
LA

Other

Enumeration date
12/13/2006
Last updated
02/04/2008
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