Individual
MRS. MICHELLE FELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
507 CARONDELET ST, MANDEVILLE, LA 70448-5002
(985) 778-1253
Mailing address
507 CARONDELET ST, MANDEVILLE, LA 70448
(985) 778-1253
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01241
LA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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