Individual
AMANDA GRAHAM SPAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
2122 AIRLINE DR STE 200, BOSSIER CITY, LA 71111-3270
(318) 828-1450
Mailing address
670 ALBEMARLE DR STE 1100, SHREVEPORT, LA 71106-5947
(318) 828-1450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200091
LA
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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