ANDREA LEA BURLISON

SHREVEPORT, LA
NPI1528580552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: LA  Z11235)
Enumeration Date2017-07-12
Last Update Date2017-07-12
Business Address
Mrs. ANDREA LEA BURLISON LOTR
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
Mailing Address
Mrs. ANDREA LEA BURLISON LOTR
17 CHAPEL CREEK LN
SHREVEPORT, LA 71106-8553
Phone number: