Individual
GABRIANNA DANIELLE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2522 NORTH 70TH ST, SHREVEPORT, LA 71105
(318) 795-3388
Mailing address
2522 E 70TH ST, SHREVEPORT, LA 71105-4002
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
329968
LA
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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