Individual
MR. JOSEPH LEROY SHINE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
509 MAIN ST, LA PLACE, LA 70068-4513
(504) 487-9422
(985) 653-9324
Mailing address
509 MAIN ST, LA PLACE, LA 70068-4513
(504) 487-9422
(985) 653-9324
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LA03237
LA
2251E1200X
Ergonomics Physical Therapist
LA03237
LA
2251G0304X
Geriatric Physical Therapist
LA03237
LA
2251S0007X
Sports Physical Therapist
LA03237
LA
2251X0800X
Orthopedic Physical Therapist
LA03237
LA
Other
Enumeration date
04/21/2006
Last updated
11/25/2025
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