Individual
CASEY VINING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1950 E 70TH ST STE A, SHREVEPORT, LA 71105-5345
(318) 219-6064
Mailing address
832 ABITA CHASE, BOSSIER CITY, LA 71111-6435
(318) 751-1050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
334891
LA
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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