Individual
MR. ERIC DEAN WEATHERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3867 BAYOU ACRES DR, BASTROP, LA 71220-9232
(318) 283-2080
(318) 283-0606
Mailing address
3700 OLD SHED RD STE 7, BOSSIER CITY, LA 71111-2820
(318) 417-0108
(318) 283-0606
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07702
LA
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/19/2011
Last updated
08/02/2022
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