Individual
JANA CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2226 MURPHY ST, SHREVEPORT, LA 71103-2549
(318) 603-6755
Mailing address
9410 NEWCASTLE BLVD, SHREVEPORT, LA 71129-4840
(318) 288-2894
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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