Jefferson, Tongala Renee

Jefferson, Tongala Renee is an individual health care provider with primary practice located at 1257 N Pines Dr , Shreveport LA 71107-2723. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Jefferson, Tongala Renee can be contacted via phone (318) 678-0656.

Contact Information

Primary practice address
1257 N Pines Dr Shreveport LA 71107-2723
Phone: (318) 678-0656
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2065062 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A4521 Louisiana

Profile Details

NPI number 1821261538
LBN Legal business name Jefferson, Tongala Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2008
Last updated Oct 22nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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