Individual
KAYLEIGH GLYNN PERLOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LRT/CTRS, CDP
Contact information
Practice address
302 W MCNEESE ST, LAKE CHARLES, LA 70605-5604
(337) 474-7581
Mailing address
1330 W MCNEESE ST APT 8214, LAKE CHARLES, LA 70605-4507
(404) 285-0422
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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