Individual
MS. MISTY REMEDIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
9967 TRAILRIDGE DR, SHREVEPORT, LA 71106-7678
(318) 798-8485
Mailing address
9967 TRAILRIDGE DR, SHREVEPORT, LA 71106-7678
(318) 798-8485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
200230
LA
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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