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Individual

LATONYA P MISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1743 SWAN LAKE RD STE E, BOSSIER CITY, LA 71111-5366
(318) 553-5022
(318) 594-3088
Mailing address
2008 AIRLINE DR STE 300-288, BOSSIER CITY, LA 71111-2946
(601) 405-4758

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10520R
LA
225100000X
Physical Therapist
4653
OK
225100000X
Physical Therapist
PT009525
GA
225100000X
Physical Therapist

Other

Enumeration date
01/28/2009
Last updated
12/18/2023
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