Individual
MARY LEGRANGE O'CALLAGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
153 KELLY DR, SLIDELL, LA 70458-5403
(225) 244-1954
Mailing address
153 KELLY DR, SLIDELL, LA 70458-5403
(225) 244-1954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
332841
LA
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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