Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1144276726 |
---|---|
Provider Name | Billy Alger |
First Address | Logansport, LA 71049-3393 |
Second Address | Shreveport, LA 71101-4243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 02/11/2007 |