Individual
MRS. KATIE LEA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
13909 FLORIDA BLVD, LIVINGSTON, LA 70754
(225) 686-7044
Mailing address
32400 BUTCH BENNETT RD, WALKER, LA 70785
(225) 572-3814
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200140
LA
Other
Enumeration date
02/01/2007
Last updated
07/10/2020
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