Individual
AMBER EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCOTA
Contact information
Practice address
1000 E BAYOU DR, TALLULAH, LA 71282-3927
(318) 341-2774
Mailing address
1000 E BAYOU DR, TALLULAH, LA 71282-3927
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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