Individual
MRS. AMANDA ROBERT KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
1450 CLAIBORNE AVE, SHREVEPORT, LA 71103-4204
(318) 813-2970
(318) 813-2975
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5055
(318) 675-5069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Z12481
LA
225X00000X
Occupational Therapist
Primary
OTT.Z12481
LA
Other
Enumeration date
09/16/2009
Last updated
03/17/2018
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