Individual
KATELYN COOK HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, LOTR
Contact information
Practice address
4440 VIKING DR STE 200, BOSSIER CITY, LA 71111-7511
(318) 746-1199
Mailing address
10002 GLEANNLOCH RD, SHREVEPORT, LA 71106-7855
(318) 510-2088
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200811
LA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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