Individual
ELISE M KELONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
554 TUNICA DR W, MARKSVILLE, LA 71351-2627
(318) 240-7680
(318) 240-7681
Mailing address
4210 HIGHWAY 115, BUNKIE, LA 71322-4310
(318) 240-7680
(318) 240-7681
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200548
LA
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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