Individual
KAREN L KECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7330 FERN AVE, SUITE 502, SHREVPORT, LA 71105
(817) 480-4796
Mailing address
7330 FERN AVE, SUITE 502, SHREVEPORT, LA 71105-4971
(318) 675-0707
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
206654
TX
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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