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PAUL FORREST PROCELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
2724 GREENWOOD RD, SHREVEPORT, LA 71109-4635
(318) 212-4750
(318) 212-8510
Mailing address
2724 GREENWOOD RD, SHREVEPORT, LA 71109-4635
(318) 212-8501
(318) 212-8510

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
210627
LA

Other

Enumeration date
05/03/2011
Last updated
05/03/2011
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