Individual
KATIE MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, LOTR
Contact information
Practice address
4739 HIGHWAY 10, JACKSON, LA 70748-3509
(225) 634-5265
Mailing address
6012 SANDY CREEK LN, ZACHARY, LA 70791-2760
(225) 505-6892
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200677
LA
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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