Individual
MELISSA DOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 OLIVE ST, SHREVEPORT, LA 71104-2210
(318) 302-6000
Mailing address
2704 SHED RD APT 274K, BOSSIER CITY, LA 71111-3072
(318) 278-7268
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A10429R
LA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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