Individual
MR. GLENN F. MOBLEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2950 1/2 LAKEVIEW RD, SHREVEPORT, LA 71107
(318) 459-1181
Mailing address
2482 ARMFIELD RD, OAK GROVE, LA 71263-6819
(318) 230-6127
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3561
AZ
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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