DAPHNE LANE NIERMAN

SHREVEPORT, LA
NPI1053682120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: LA  OTA.Z20578)
Enumeration Date2012-01-22
Last Update Date2012-01-22
Business Address
Mrs. DAPHNE LANE NIERMAN
1723 BAYOU DR
SHREVEPORT, LA 71105-3401
Phone number: 318-751-3484
Mailing Address
Mrs. DAPHNE LANE NIERMAN
1723 BAYOU DR
SHREVEPORT, LA 71105-3401
Phone number:
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