Pearce, Amanda Favret

Pearce, Amanda Favret is an individual health care provider with primary practice located at 1450 Claiborne Ave , Shreveport LA 71103-4204. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Pearce, Amanda Favret can be contacted via phone (318) 813-2962.

Contact Information

Primary practice address
1450 Claiborne Ave Shreveport LA 71103-4204
Phone: (318) 813-2962
Fax: (318) 813-2981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTT200557 Louisiana

Profile Details

NPI number 1144584889
LBN Legal business name Pearce, Amanda Favret
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Nov 27th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144584889 NPPES
Louisiana MEDICAID 1174173

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