Individual
MRS. REBECCA PRINCE MAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
2522 E 70TH ST, SHREVEPORT, LA 71105-4002
(318) 798-5918
Mailing address
4719 BRUCE ST, BOSSIER CITY, LA 71111-2607
(318) 372-7035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200610
LA
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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