AMANDA ROBERT KIRBY

SHREVEPORT, LA
NPI1235462789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  OTT.Z12481)
Additional Taxonomies174400000X Specialist
(Licence: LA  z12481)
Enumeration Date2009-09-16
Last Update Date2018-03-17
Business Address
Mrs. AMANDA ROBERT KIRBY LOTR
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2970
Mailing Address
Mrs. AMANDA ROBERT KIRBY LOTR
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5055