NPI 1679182083 · live from the CMS NPI Registry
Summer Abdallah
Physical Therapist in Shreveport, LA. National Provider Identifier 1679182083, active.
NPI record
| NPI | 1679182083 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1450 Claiborne Ave, Shreveport, LA 71103 |
| Practice phone | 318-813-2970 |
| Mailing address | 1501 Kings Hwy, Shreveport, LA 71103 |
| Enumerated | July 31, 2020 |
| Last updated | July 31, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 35419 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.