Organization
NORTHSHORE KIDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY CREEL OTR (OWNER)
(210) 725-6438
Entity
Organization
Contact information
Practice address
1524 DARLINGTON ST, COVINGTON, LA 70433-6041
(210) 725-6438
Mailing address
1524 DARLINGTON ST, COVINGTON, LA 70433-6041
(210) 725-6438
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
200774
LA
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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