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Organization
KELLY D'AQUILLA, OT LLC
Active
Organization
KELLY D'AQUILLA, OT LLC
Active
Other names
Kelly D'Aquilla, OT LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY D'AQUILLA LOTR (OWNER)
(225) 635-0149
Entity
Organization
Contact information
Practice address
5637 COMMERCE STREET, ST. FRANCISVILLE, LA 70775
(225) 978-7686
Mailing address
PO BOX 276, SAINT FRANCISVILLE, LA 70775-0276
(225) 635-0149
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
NULL
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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