Organization
RESILIENCE CONCIERGE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED ROGE PT, DPT (OWNER/PHYSICAL THERAPIST)
(318) 471-3306
Entity
Organization
Contact information
Practice address
609 WOODMERE DR, SHREVEPORT, LA 71115-3815
(318) 471-3306
Mailing address
609 WOODMERE DR, SHREVEPORT, LA 71115-3815
(318) 471-3306
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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