Individual
STEFANIE BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
403 E FLOURNOY LUCAS RD, SHREVEPORT, LA 71115-3906
(318) 798-3500
Mailing address
9800 JENNIFER LN, SHREVEPORT, LA 71106-7716
(318) 245-6420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
200137
LA
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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