Individual
TARA LIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9086 FERRY CREEK DR, SHREVEPORT, LA 71106-8404
(318) 210-1907
Mailing address
9086 FERRY CREEK DR, SHREVEPORT, LA 71106-8404
(318) 210-1907
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
303659
LA
Other
Enumeration date
05/10/2021
Last updated
12/21/2022
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