Individual
MARLETTA COPES HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 294-1086
Mailing address
511 LOVERS LANDING, CAREGIVER SUPPORT SERVICES, BOSSIER CITY, LA 71111
(318) 341-0315
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT200066
LA
Other
Enumeration date
05/06/2008
Last updated
09/12/2023
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