Individual
MR. SHAUN STEFFEN SIEBENEICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2495 SHREVEPORT HWY # 71, PINEVILLE, LA 71360-4044
(318) 466-4452
Mailing address
604 CALDERWOOD DR, ALEXANDRIA, LA 71303-3791
(318) 466-4452
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05200
LA
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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