Individual ProviderJamie ConnerOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7330 Fern Ave, Suite 503, Shreveport, LA 71105-4971(866) 730-0707PECOS EnrollmentBased on the most recent information from CMS, provider Jamie Conner does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1851534663Provider TypeIndividualFull NameConner, JamieGenderFemaleSole ProprietorNoEnumeration Date4/8/2009Last Updated4/8/2009Contact InformationPractice LocationPractice Address7330 Fern Ave, Suite 503, Shreveport, LA 71105-4971Phone(866) 730-0707FaxUnlisted FaxMailing LocationMailing Address10 Phillip West Rd, Natchez, MS 39120-8953PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense112775Texas