Individual
MS. MICHELLE C MCKEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6364 CANAL BLVD, NEW ORLEANS, LA 70124-3118
(504) 909-7801
(504) 283-4102
Mailing address
6364 CANAL BLVD, NEW ORLEANS, LA 70124-3118
(504) 909-7801
(504) 283-4102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z12194
LA
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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