Individual
MS. CAROL SUE HAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2495 SHREVEPORT HWY, 71 NORTH, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
1007B NYE DR, ALEXANDRIA, LA 71303-5759
(318) 769-1669
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OTT.200303
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0TT.200303
OCCUPATIONAL THERAPIST
LA
Enumeration date
04/01/2010
Last updated
04/01/2010
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