Individual
TRICIA ANN ATKISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, LOTR
Contact information
Practice address
228 PRESTON AVE, SHREVEPORT, LA 71105-3308
(318) 617-0083
Mailing address
228 PRESTON AVE, SHREVEPORT, LA 71105-3308
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200074
LA
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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