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Individual

JORDAN BENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
670 ALBEMARLE DR, SHREVEPORT, LA 71106-5945
(318) 828-1450
Mailing address
9023 WATCHWOOD DR, HAUGHTON, LA 71037-9372

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
349905
LA

Other

Enumeration date
11/06/2025
Last updated
11/19/2025
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