Individual
CHARLES MARSHALL COWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1453 E. BERT KOUNS, SHREVEPORT PHYSICAL THERAPY & SPORTS MEDICINE, SHREVEPORT, LA 71105
(318) 681-5633
(318) 681-5685
Mailing address
1453 E. BERT KOUNS, SHREVEPORT PHYSICAL THERAPY & SPORTS MEDICINE, SHREVEPORT, LA 71105
(318) 681-5633
(318) 681-5685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00539
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2140141
—
LA
Enumeration date
02/23/2007
Last updated
04/13/2011
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