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Individual

MATTHEW JOSEPH BARCELONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
8835 LINE AVE STE 100, SHREVEPORT, LA 71106-6731
(318) 681-5633
(318) 681-5685
Mailing address
PO BOX 5477, SHREVEPORT, LA 71135-5477
(318) 681-5633
(318) 681-5685

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08056
LA

Other

Enumeration date
02/01/2012
Last updated
07/29/2019
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