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Stefanie Breaux, MOT, OTR

Occupational Therapist in Shreveport, LA. Individual provider (NPI-1).

NPI number1982176046
StatusActive
Last updated in NPPESDec 28, 2018

Details

NPI
1982176046
Entity type
Individual (NPI-1)
Name
Stefanie Breaux
Credential
MOT, OTR
Sex
Female
Sole proprietor
No
Enumeration date
Dec 28, 2018
Last updated
Dec 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist200137LAYes

Practice location

403 E Flournoy Lucas Rd
Shreveport, LA 71115-3906

Phone 318-798-3500

Mailing address

9800 Jennifer Ln
Shreveport, LA 71106-7716

Phone 318-245-6420

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