Individual
KELSEY MADERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39315 SWAN RD, PEARL RIVER, LA 70452-5715
(504) 259-3281
Mailing address
39315 SWAN RD, PEARL RIVER, LA 70452-5715
(504) 259-3281
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.200192
LA
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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