Organization
THE CENTER FOR THERAPY PEDIATRIC THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE V MCMILLIAN LOTR (OWNER)
(318) 227-9002
Entity
Organization
Contact information
Practice address
1800 BUCKNER ST, C-200, SHREVEPORT, LA 71101-4440
(318) 227-9002
(318) 227-9025
Mailing address
1800 BUCKNER ST, C-200, SHREVEPORT, LA 71101-4440
(318) 227-9002
(318) 227-9025
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.Z10975
LA
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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