Individual
KELSEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 889-3074
Mailing address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 889-3074
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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