Individual
ASHLEY KUEHNE VACCARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
2759 MCDONALD ST, MANDEVILLE, LA 70448-2376
(985) 373-4151
Mailing address
2759 MCDONALD ST, MANDEVILLE, LA 70448-2376
(985) 373-4151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07617
LA
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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