Organization
MONKEYS AND MOONS PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MOLLY MCLEMORE BLAYLOCK LCOTA (OWNER)
(318) 348-2500
Entity
Organization
Contact information
Practice address
4238 FRONT ST, WINNSBORO, LA 71295-4139
(318) 348-2500
Mailing address
1343 HIGHWAY 618, WINNSBORO, LA 71295-4629
(318) 348-2500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.200086
LA
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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