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Individual

MRS. KELLY QUEBEDEAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1050 S FOSTER DR, BATON ROUGE, LA 70806-7221
(504) 912-7807
Mailing address
15230 GERMANY OAKS BLVD, PRAIRIEVILLE, LA 70769-5055
(504) 912-7807

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09172
LA

Other

Enumeration date
07/18/2022
Last updated
07/18/2022
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