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Individual

MRS. EMILEE RENE POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
650 OLIVE ST, SHREVEPORT, LA 71104-2210
(318) 302-6000
Mailing address
126 CASA DR, HAUGHTON, LA 71037-9521
(318) 706-9269

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
311543
LA

Other

Enumeration date
10/21/2019
Last updated
10/21/2019
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