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1821540154
STEPHANIE JENNINGS
SHREVEPORT, LA
NPI
1821540154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA 200874)
Enumeration Date
2016-11-03
Last Update Date
2016-11-03
Business Address
-- STEPHANIE JENNINGS OTR
1003 OSPREY DR
SHREVEPORT, LA 71106-8352
Phone number: 318-453-8112
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Mailing Address
-- STEPHANIE JENNINGS OTR
1003 OSPREY DR
SHREVEPORT, LA 71106-8352
Phone number: 318-453-8112
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