Individual
CONSTANCE LA'SHAY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
912 SOUTH PECAN ST, VIVIAN HEALTHCARE CENTER, VIVIAN, LA 71082
(318) 375-5859
Mailing address
5220 HIGHLAND RD, APT #32, RICHWOOD, LA 71202-3096
(318) 791-1876
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.200098
LA
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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