Individual
MISS MARISSA DANIELLE SLAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4405 AIRLINE DR, BOSSIER CITY, LA 71111-2058
(318) 747-5440
Mailing address
9525 STEVENS RD, SHREVEPORT, LA 71106-7530
(318) 729-3911
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
308139
LA
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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