Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mara Beth Moore, LOTR

Individual provider Pediatric Occupational Therapist · NPI 1760206049

Mara Beth Moore, LOTR is a Pediatric Occupational Therapist in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2024.

Licensed in
LA
In the registry since
2024

Practice location Address checks out

702 Professional Dr N
Shreveport, LA 71105-5600
Phone: (870) 914-1809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 338817 (LA)

Record details

NPI number1760206049
Entity typeIndividual (Type 1)
GenderFemale
Credentials LOTR
Sole proprietorNo
NPI enumeratedNovember 13, 2024
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

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