Individual
EMILEE REICHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 ASH ST, OLLA, LA 71465-4082
(318) 789-9167
Mailing address
1115 ASH ST, OLLA, LA 71465-4082
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
301174
LA
Other
Enumeration date
11/14/2019
Last updated
04/26/2021
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