Organization
TRI-STATE PHYSICAL THERAPY #4 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN B TURNER PT (PRESIDENT/ADMINISTRATOR)
(318) 631-7999
Entity
Organization
Contact information
Practice address
2250 HOSPITAL DR, SUITE 120, BOSSIER CITY, LA 71111-2167
(318) 747-1760
(318) 742-8839
Mailing address
2820 HEARNE AVE, SHREVEPORT, LA 71103-3934
(318) 631-7999
(318) 631-9528
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
08/22/2020
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