JESSICA RUSSELL

SHREVEPORT, LA
NPI1043693872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  OTT.Z11253)
Enumeration Date2015-06-29
Last Update Date2015-06-29
Business Address
-- JESSICA RUSSELL
302 SADIE DOUGLAS CIR
SHREVEPORT, LA 71106-7689
Phone number: 318-465-3743
Mailing Address
-- JESSICA RUSSELL
302 SADIE DOUGLAS CIR
SHREVEPORT, LA 71106-7689
Phone number:
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