Individual
MRS. STEPHEN C FORRESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
2150 BOYCE ST, ALEXANDRIA, LA 71301-3707
(318) 441-2211
(318) 441-1111
Mailing address
2150 BOYCE ST, ALEXANDRIA, LA 71301-3707
(318) 441-2211
(318) 441-1111
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LA#0877
LA
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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