AMANDA GRAHAM SPAW

BOSSIER CITY, LA
NPI1073392353
Former NameAMANDA GRAHAM BAKOWSKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  OTT.200091)
Enumeration Date2023-09-26
Last Update Date2023-09-26
Business Address
AMANDA GRAHAM SPAW MOT
2122 AIRLINE DR STE 200
BOSSIER CITY, LA 71111-3270
Phone number: 318-828-1450
Mailing Address
AMANDA GRAHAM SPAW MOT
670 ALBEMARLE DR STE 1100
SHREVEPORT, LA 71106-5947
Phone number: 318-828-1450
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