Individual
ALEXANDER DIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1450 CLAIBORNE AVE, SHREVEPORT, LA 71103-4204
(318) 813-2970
(318) 813-2975
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 813-2970
(318) 813-2975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10005
LA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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