MACIE BRANCH LOTR
Individual Provider (NPI-1)
Active
Occupational Therapist
Provider Information
- NPI Number
1932844230- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LOTR
- Status
- Active
Contact & Location
- Address
- 1603 GOODWIN RD, RUSTON, LA, 712702907
- Phone
- (318) 255-7550
Specialties & Taxonomies
Occupational Therapist
Primary License: LA #324858