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Individual

BRIAN T ENLOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3630 FRONT ST, WINNSBORO, LA 71295-2224
(318) 367-0604
(318) 367-2678
Mailing address
3630 FRONT ST, WINNSBORO, LA 71295-2224
(318) 367-0604
(318) 367-2678

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07456
LA
225200000X
Physical Therapy Assistant
A3556
LA

Other

Enumeration date
06/04/2006
Last updated
01/28/2021
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