Individual
KAITLYN FORET STALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1111 MEDICAL CENTER BLVD STE S630, MARRERO, LA 70072-3194
(504) 340-6976
(504) 934-8044
Mailing address
1111 MEDICAL CENTER BLVD STE S630, MARRERO, LA 70072-3194
(504) 340-6976
(504) 934-8044
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
312458
LA
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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