Individual
VALERIE KILGORE FANECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
822 S CLEARVIEW PKWY, HARAHAN, LA 70123-3401
(504) 736-1865
Mailing address
10005 JOEL AVE, RIVER RIDGE, LA 70123-1511
(504) 305-6612
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.Z10867
LA
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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