Individual
MRS. LINDA L FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 429-5727
Mailing address
10000 KEDGWICK CT, SHREVEPORT, LA 71118-4505
(318) 221-8411
(318) 429-5727
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z11284
LA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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