Individual
MS. LORETTA SERMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
228 CYPRESS LAKE CIR, BENTON, LA 71006-4304
(318) 221-8411
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z11277
LA
Other
Enumeration date
09/15/2010
Last updated
09/28/2023
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