SearchLouisiana224Z00000X

Glenn Mobley, COTA

NPI 1659570273 · on the registry since 2007 · sole proprietor

Practice

Address
2950 1/2 Lakeview Rd
Shreveport, LA 71107
Phone
(318) 459-1181

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana