Individual
ANNAH BALEY PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6700 HIGHWAY 165 N, MONROE, LA 71203-8753
(318) 362-4206
Mailing address
1108 BISCAYNE, MAGNOLIA, AR 71753-4201
(870) 914-1013
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
340089
LA
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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