Individual
SHAWNA WOODS CHUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
1800 BUCKNER ST, C-200, SHREVEPORT, LA 71101-4440
(318) 227-9002
(318) 227-9025
Mailing address
1800 BUCKNER ST, C-200, SHREVEPORT, LA 71101-4440
(318) 227-9002
(318) 227-9025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z12313
LA
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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