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Individual

MS. SONYA RENEE TEMPLE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCOTA

Contact information

Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 429-5727
Mailing address
340 TENCY TRL, CASTOR, LA 71016-4221
(318) 221-8411
(318) 429-5727

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
Z20291
LA

Other

Enumeration date
05/26/2006
Last updated
07/08/2007
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