Individual
MS. RENE MCKIDDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
108 ENERGY PKWY, LAFAYETTE, LA 70508-3818
(337) 504-4244
(337) 706-7612
Mailing address
108 ENERGY PKWY, LAFAYETTE, LA 70508-3818
(337) 504-4244
(337) 706-7612
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2021004276
MO
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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