Individual
MAGGIE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
101 W MECHANIC ST, LEESVILLE, LA 71446-3464
(337) 239-3334
Mailing address
2522 E 70TH ST, SHREVEPORT, LA 71105-4002
(318) 795-3388
(318) 795-3399
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200602
LA
225XP0200X
Pediatric Occupational Therapist
OTT.200602
LA
Other
Enumeration date
06/14/2013
Last updated
07/29/2013
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