Individual
DR. LATISHA LEVELMA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7607 FERN AVE STE 704, SHREVEPORT, LA 71105-5744
(318) 828-1450
(318) 828-1450
Mailing address
2059 SAND CREST DR, SHREVEPORT, LA 71118-4857
(318) 423-5606
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09078R
LA
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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