Individual
ELLEN DEAN PEDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4970 BARKSDALE BLVD STE 900, BOSSIER CITY, LA 71112-4677
(318) 747-8892
(318) 747-8893
Mailing address
663 JORDAN ST, SHREVEPORT, LA 71101-4748
(318) 222-8892
(318) 222-8893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09898
LA
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/02/2021
Last updated
02/01/2024
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