Individual
MISS ALYSSA DENEE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
650 OLIVE ST, SHREVEPORT, LA 71104-2210
(318) 302-6000
(318) 302-6001
Mailing address
13756 HIGHWAY 146, ARCADIA, LA 71001-5117
(318) 294-4418
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A10030
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A10030
LOUISIANA PHYSICAL THERAPY BOARD
LA
Enumeration date
08/13/2019
Last updated
08/13/2019
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