IndividualActive
Glenn Mobley, COTA
NPI 1659570273 · Occupational Therapy Assistant · Shreveport, LA
Provider details
- NPI number
- 1659570273
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3561 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2950 1/2 Lakeview Rd
Shreveport, LA 71107
Phone: (318) 459-1181
Approximate (ZIP-level) locationGet directions
Mailing address
2482 Armfield Rd
Oak Grove, LA 71263-6819
Registry dates
- Enumerated
- 2007-07-13
- Last updated
- 2007-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.