Individual
MRS. DELISHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
2495 SHREVEPORT HWY # 71, PINEVILLE, LA 71360-4044
(318) 466-4263
Mailing address
2495 SHREVEPORT HWY # 71, PINEVILLE, LA 71360-4044
(318) 466-4263
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.20078
LA
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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