Individual
JILL BRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2575 AIRLINE DR, BOSSIER CITY, LA 71111-5812
(318) 746-7466
Mailing address
4022 WISTERIA LN, BENTON, LA 71006-9368
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6492
LA
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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