Northwest Louisiana Physical Medicine
Northwest Louisiana Physical Medicine is a Physical Medicine & Rehabilitation Physician in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2005.
- Licensed in
- LA
- In the registry since
- 2005
Practice location Address checks out
9045 Ellerbe Rd Ste 107Shreveport, LA 71106-6799
Phone: (318) 424-4224
Fax: (318) 865-5330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X (LA) |
|---|
Record details
| NPI number | 1720071590 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jenness Courtney — President · (318) 424-4224 |
| NPI enumerated | August 26, 2005 |
| Last updated in NPPES | August 21, 2024 |
| Certification date | August 21, 2024 |
| Mailing address | 1801 Fairfield Ave, Ste 411, Shreveport, LA 71101-4443 |
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