Individual
SARA E. RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 429-5721
Mailing address
350 ALBERT AVE, SHREVEPORT, LA 71105-2906
(318) 219-3160
(318) 429-5721
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z12440
LA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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