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1386196756
ALISHA BRISTER
DERIDDER, LA
NPI
1386196756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.Z12068)
Enumeration Date
2016-11-01
Last Update Date
2016-11-01
Business Address
Mrs. ALISHA BRISTER OTR/L
970 SCALLON RD
DERIDDER, LA 70634-7436
Phone number: 919-696-0112
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Mailing Address
Mrs. ALISHA BRISTER OTR/L
970 SCALLON RD
DERIDDER, LA 70634-7436
Phone number: 919-696-0112
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