Provider First Line Business Practice Location Address:
PEDIATRIC THERAPY PARTNERS
Provider Second Line Business Practice Location Address:
4350 VIKING DRIVE, STE. 1
Provider Business Practice Location Address City Name:
BOSSIER CITY
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
131-829-4913
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/30/2022