NPI 1093111213

Randall Eugene Simmons

Practitioner Occupational Therapy Assistant Bossier City, LA

Practice location

Address: 2575 Airline Dr, Bossier City, LA 71111-5812
Phone: (318) 746-7466
Mailing address: 318 Ace St, Haughton, LA 71037-8774

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 200422 (LA)

Other Occupational Therapy Assistant providers in Louisiana →

Registry record

NPI: 1093111213
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2014
Record last updated: 16 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.