Misty Remedies LOTR

NPI 1609032366 - Occupational Therapist - 225X00000X

NPI Details
NPI 1609032366
Gender Female
Enumeration Date 08/01/2008
Last Updated 08/01/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
9967 TRAILRIDGE DR
SHREVEPORT LA, 71106-7678, US
Phone (318) 798-8485
Fax
Business Location
9967 TRAILRIDGE DR
SHREVEPORT LA, 71106-7678, US
Phone (318) 798-8485
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Louisiana
License Number 200230
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According to our database, Ms. Misty Remedies LOTR NPI is 1609032366, taxonomy code is 225X00000X and license number is 200230, license state is located at Louisiana. Misty Remedies LOTR physically located at 9967 Trailridge Dr, Shreveport LA, 71106-7678. NPI Number Misty Remedies LOTR has the Individual type.

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1609032366 NPI number is provided on an as is basis without warranty of any kind. 1609032366 is maintained by the National Plan & Provider Enumeration System. The contents of Misty Remedies LOTR are for informational purposes only.