SHANNON RENE PAINE

WEST MONROE, LA
NPI1407914278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  200124)
Enumeration Date2006-12-05
Last Update Date2007-07-08
Business Address
-- SHANNON RENE PAINE LOTR
107 SUMMER LANE
WEST MONROE, LA 71921
Phone number: 318-396-1969
Mailing Address
-- SHANNON RENE PAINE LOTR
PO BOX 1377
WEST MONROE, LA 71294
Phone number: 318-396-1969