Individual
DR. CANDICE CROSS COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, MOT. LOTR
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
5545 TREVOR DR, SHREVEPORT, LA 71129-5135
(318) 470-5361
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200162
LA
Other
Enumeration date
07/03/2023
Last updated
07/04/2023
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