Individual
JACALYN NIERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
246 WINTERWOOD DR, SHREVEPORT, LA 71106-7647
(318) 797-7202
(318) 425-2443
Mailing address
246 WINTERWOOD DR, SHREVEPORT, LA 71106-7647
(318) 797-7202
(318) 425-2443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z11269
LA
Other
Enumeration date
01/22/2012
Last updated
01/22/2012
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