Individual
ELIZABETH REDDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
803 STUBBS AVE, STE D, MONROE, LA 71201
(318) 388-8414
(318) 388-8558
Mailing address
83 STUBBS AVE, STE D, MONROE, LA 71201
(318) 388-8414
(318) 388-8558
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA200143
LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
LA
Enumeration date
11/18/2009
Last updated
11/18/2009
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