Individual
KIMBERLY TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 LUNEAU RD, FERRIDAY, LA 71334-4203
(318) 757-1625
(318) 757-8018
Mailing address
200 LUNEAU RD, FERRIDAY, LA 71334-4203
(318) 757-1625
(318) 757-8018
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
Z20628
LA
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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