Individual
MRS. SHELBY S WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1181 HWY 432, SLAUGHTER, LA 70777
(225) 306-0030
Mailing address
17453 HIGHWAY 432, CLINTON, LA 70722-4022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09636
LA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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