Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1714 CLAIBORNE AVE, SHREVEPORT, LA 71103-4119
(318) 698-2300
Mailing address
418 ATLANTIC AVE, SHREVEPORT, LA 71105-2912
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
307963
LA
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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