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Individual

KAITLIN PROSINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
1950 E 70TH ST STE A, SHREVEPORT, LA 71105-5345
(318) 219-6064
Mailing address
1950 E 70TH ST STE A, SHREVEPORT, LA 71105-5345

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
330340
LA

Other

Enumeration date
04/06/2022
Last updated
04/06/2022
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