Individual
DEVON BOND MONSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8891 SUGARLAND DR APT 15101, SHREVEPORT, LA 71115-2843
(318) 751-5413
Mailing address
8891 SUGARLAND DR APT 15101, SHREVEPORT, LA 71115-2843
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
300942
LA
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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