Individual
KAYLIN R LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
901 HUGH WALLIS RD S, LAFAYETTE, LA 70508-2511
(337) 769-0812
Mailing address
901 HUGH WALLIS RD S, LAFAYETTE, LA 70508-2511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6708
AL
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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