Individual
MARY CERISE ROPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, CHT
Contact information
Practice address
2906 PLANTATION DR, BOSSIER CITY, LA 71111-5851
(318) 746-5295
(318) 746-5297
Mailing address
274 HIGHWAY 789, KEATCHIE, LA 71046-4900
(318) 933-0077
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
Z10559
LA
Other
Enumeration date
07/21/2008
Last updated
03/30/2009
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