Individual
KELLY OKOROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3708 MAPLEWOOD DR, SULPHUR, LA 70663-6302
(337) 214-0029
Mailing address
3546 TAYLOR ST, LAKE CHARLES, LA 70607-2110
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
LA
Other
Enumeration date
12/25/2019
Last updated
12/25/2019
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