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
—
—
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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