| Sara Walters, LOTR | |
|
1450 Claiborne Ave, Shreveport, LA 71103-4204 | |
| (318) 813-2970 | |
| (318) 813-2981 |
| Full Name | Sara Walters |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1450 Claiborne Ave, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629539911 | NPI | - | NPPES |
| 1174173 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 303497 (Louisiana) | Primary |
| Provider Name | Louisiana State University Health Sciences Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144265976 PECOS PAC ID: 6103730908 Enrollment ID: O20151214001377 |
| Provider Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Provider Name | Lsuhsc-s School Of Allied Health |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1144265976 PECOS PAC ID: 0840669123 Enrollment ID: O20221208000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Walters, LOTR 1501 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 813-2962 | Sara Walters, LOTR 1450 Claiborne Ave, Shreveport, LA 71103-4204 Ph: (318) 813-2970 |
Jennie Moore Bange, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-813-2972 | |
Lynn Gibbs Jenkins, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 Samford Ave, Shreveport, LA 71103 Phone: 318-222-5704 | |
Amanda Benson, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4509 Clingman Dr, Shreveport, LA 71105 Phone: 318-540-8180 | |
Mrs. Emily E Dennis, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Claiborne Ave, Shreveport, LA 71103 Phone: 318-813-2970 Fax: 318-813-2975 | |
Jessica Russell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 302 Sadie Douglas Cir, Shreveport, LA 71106 Phone: 318-465-3743 | |
Kimberly Johnson, OCCUPATIONAL THERAPY Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8870 Youree Dr Ste 108, Shreveport, LA 71115 Phone: 318-344-8021 | |
Rachel Elizabeth Johns, MOT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-990-5271 |