Individual
MADELINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
Mailing address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
328576
LA
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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