Organization
BAYOU STATE THERAPY
Active
Organization
BAYOU STATE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN T SOWELL PT (PT/OWNER)
(318) 219-7737
Entity
Organization
Contact information
Practice address
457 ASHLEY RIDGE BLVD STE B, SHREVEPORT, LA 71106-7229
(318) 219-7737
(318) 219-7739
Mailing address
457 ASHLEY RIDGE BLVD STE B, SHREVEPORT, LA 71106-7229
(318) 219-7737
(318) 219-7739
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
03183
LA
Other
Enumeration date
12/18/2008
Last updated
03/12/2009
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