PAUL FORREST PROCELL

SHREVEPORT, LA
NPI1689966194
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  210627)
Enumeration Date2011-05-03
Last Update Date2011-05-03
Business Address
-- PAUL FORREST PROCELL OT
2724 GREENWOOD RD
SHREVEPORT, LA 71109-4635
Phone number: 318-212-4750
Mailing Address
-- PAUL FORREST PROCELL OT
2724 GREENWOOD RD
SHREVEPORT, LA 71109-4635
Phone number: 318-212-8501