Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1981
NPI: 1639162290
Practice Locations (2)
301 W FERTITTA BLVD, SUITE 1
LEESVILLE, LA 714464666
3372380167
PHYSICAL THERAPY SERVICES OF WEST LOUISIANA INC
301 W FERTITTA BLVD, SUITE 4
LEESVILLE, LA 714464665
3372389931
Source: CMS National Downloadable File, September 2026.