Individual
BRITTANI NICHOLL COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 SOUTHERN AVE, SHREVEPORT, LA 71104-2016
(318) 219-6064
(318) 225-7928
Mailing address
6005 KIRSTEN LN, SHREVEPORT, LA 71129-4356
(318) 422-5508
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200614
LA
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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