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Individual

MRS. KELLY RUSSO STONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
505 LOUVOIS ST, MANDEVILLE, LA 70448-5468
(678) 462-2923
(866) 753-4652
Mailing address
505 LOUVOIS ST, MANDEVILLE, LA 70448-5468
(678) 462-2923
(866) 753-4652

Taxonomy

Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
OTT.Z1156
LA
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OTT.Z1156
LA
225XM0800X
Mental Health Occupational Therapist
OTT.Z1156
LA
225XN1300X
Neurorehabilitation Occupational Therapist
OTT.Z1156
LA
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.Z1156
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2450514
LA
Enumeration date
06/11/2009
Last updated
06/20/2023
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