Jennie Moore Bange, LOTR
Jennie Moore Bange, LOTR is an Occupational Therapist in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2008
Practice location Address checks out
1501 Kings HwyShreveport, LA 71103-4228
Phone: (318) 813-2972
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 200202 (LA) |
|---|
Record details
| NPI number | 1013193879 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LOTR |
| Sole proprietor | Yes |
| NPI enumerated | January 11, 2008 |
| Last updated in NPPES | January 28, 2008 |
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