Organization
RED RIVER RECOVERY & PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M HANSEN PT, DPT (PHYSICAL THERAPIST/OWNER)
(318) 364-7741
Entity
Organization
Contact information
Practice address
2539 E. 70TH ST, SHREVEPORT, LA 71105
(318) 364-7741
Mailing address
440 MCCORMICK ST, SHREVEPORT, LA 71104-5014
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
08371
LA
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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