Individual
LISA KIM DING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
900 PERSHING HWY, JONESBORO, LA 71251-2046
(318) 259-9899
Mailing address
900 PERSHING HWY, JONESBORO, LA 71251-2046
(318) 259-9899
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11710
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTT.Z11710
LOUISIANA STATE MEDICAL SOCIETY
LA
Enumeration date
02/03/2016
Last updated
02/03/2016
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