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Find a Physical Therapist / Verify a License

Diana Lynn Merendino

Physical Therapist

Clinic

Address:
LSUHSC School of Allied Health Professions
1501 Kings Hwy.
P O Box 33932
Shreveport, LA 71130
Phone:
3188132931

License

Type:
PT
Status:
Active
License #:
08378
Expiration Date:
04/30/2027
Issue Date:
07/10/2012

Board Action

None

Proof of Licensure

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Shawnette Jenee' Meziere

Physical Therapist Assistant

Clinic

Address:
Willis Knighten Extended Care Center
2550 Kings Highway
Shreveport, LA 71101
Phone:
3182126836

License

Type:
PTA
Status:
Active
License #:
A6646
Expiration Date:
04/30/2026
Issue Date:
09/22/2004

Board Action

None

Proof of Licensure

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Daniel Reese Miers

Physical Therapist

Clinic

Address:
Willis Knighton Medical Center
3300 Albert L Bicknell Dr.
#5
Shreveport, LA 71103
Phone:
3182124180

License

Type:
PT
Status:
Active
License #:
08318
Expiration Date:
04/30/2026
Issue Date:
07/10/2012

Board Action

None

Proof of Licensure

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Julie Renea Miles

Physical Therapist Assistant

Clinic

Address:
Melanie Massey Physical Therapy
1800 Buckner Street
c249
Shreveport, LA 71101
Phone:
3189341969

License

Type:
PTA
Status:
Expired
License #:
A09768R
Expiration Date:
04/30/2023
Issue Date:
08/02/2017

Board Action

None

Proof of Licensure

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Bradley Christopher Miller

Physical Therapist

Clinic

Address:
unemployed
1450 Claiborne Avenue
Shreveport, LA 71103
Phone:
4109249503

License

Type:
PT
Status:
Expired
License #:
10983R
Expiration Date:
04/30/2024
Issue Date:
07/23/2021

Board Action

None

Proof of Licensure

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Tiffany Kay Miller

Physical Therapist Assistant

Clinic

Address:
Willis Knighton Health Systems
600 E Flournoy Lucas
Shreveport, LA 71116
Phone:
3182122137

License

Type:
PTA
Status:
Expired
License #:
A8081R
Expiration Date:
04/30/2018
Issue Date:
05/31/2011

Board Action

None

Proof of Licensure

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Harry Holloman Minard

Physical Therapist

Clinic

Address:
Life Care Hospitals Inc.
2550 Kings Highway
Shreveport, LA 71103
Phone:
3182126860

License

Type:
PT
Status:
Expired
License #:
03364
Expiration Date:
04/30/2016
Issue Date:
04/23/1997

Board Action

None

Proof of Licensure

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Brittany LaGrange Montalvo

Physical Therapist

Clinic

Address:
Christus Kids Clinic
1700 Buckner Square Suite 150
Shreveport, LA 71101
Phone:
3186814803

License

Type:
PT
Status:
Active
License #:
11475
Expiration Date:
04/30/2026
Issue Date:
05/09/2023

Board Action

None

Proof of Licensure

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