Individual
MICHELE ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1500 LINE AVENUE, STE 100, SHREVEPORT, LA 71101
(318) 635-3052
(318) 632-6087
Mailing address
1534 ELIZABETH AVE STE 301, SHREVEPORT, LA 71101-4531
(318) 629-5001
(318) 629-5020
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z10947
LA
225XH1200X
Hand Occupational Therapist
1011100614
LA
Other
Enumeration date
01/19/2007
Last updated
11/29/2017
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