Individual
MS. MADISON FAKOURI MCELROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
9755 GOODWOOD BLVD, BATON ROUGE, LA 70815-4514
(225) 255-2638
(225) 771-8093
Mailing address
P.O. BOX 1480, PRAIRIEVILLE, LA 70769
(225) 255-2638
(225) 771-8093
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
121234
TX
225XP0200X
Pediatric Occupational Therapist
121234
TX
225XP0200X
Pediatric Occupational Therapist
Primary
332852
LA
Other
Enumeration date
10/09/2020
Last updated
02/29/2024
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