Individual
KELLEY O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10101 PARK ROWE AVE, BATON ROUGE, LA 70810-1686
(225) 769-2200
Mailing address
10101 PARK ROWE AVE, BATON ROUGE, LA 70810-1686
(225) 769-2200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05011007A
IN
225100000X
Physical Therapist
Primary
08533R
LA
Other
Enumeration date
03/31/2013
Last updated
04/05/2013
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