Individual
WILLIAM SAMUEL NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1500 LINE AVE, SHREVEPORT, LA 71101-4639
(131) 821-3380
Mailing address
7845 EDELWEISS DR, SHREVEPORT, LA 71107-9656
(131) 857-8078
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08022
LA
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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