# KELLY D'AQUILLA, OT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kelly D'Aquilla, OT LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073178372
- **Authorized official:** KELLY D'AQUILLA LOTR (OWNER)
- **Authorized official phone:** (225) 635-0149

## Contact information

- **Practice address:** 5637 COMMERCE STREET, ST. FRANCISVILLE, LA 70775
- **Practice address phone:** (225) 978-7686
- **Mailing address:** PO BOX 276, SAINT FRANCISVILLE, LA 70775-0276
- **Mailing address phone:** (225) 635-0149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2019
- **Last updated:** 05/02/2019