Individual provider · Type 1 NPI

Jennie Moore Bange, LOTR

Occupational Therapist · Shreveport, LA

NPI number 1013193879 Active

Practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Call (318) 813-2972 Map

Mailing address

522 Oil Field Rd
Elm Grove, LA 71051-7909

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X200202 (LA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1013193879

Jennie Moore Bange, LOTR's National Provider Identifier is 1013193879, issued on Jan 11, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Shreveport, LA. The record was last updated on Jan 28, 2008.