Provider Demographics
NPI:1508976077
Name:SHOWERS, JOELLEN H
Entity Type:Individual
Prefix:
First Name:JOELLEN
Middle Name:H
Last Name:SHOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 KENDALL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71292-0189
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3001 ARMAND ST
Practice Address - Street 2:SUITE F
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3754
Practice Address - Country:US
Practice Address - Phone:318-340-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAZ10331225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist