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Individual

KAILEY BROOKE APPLEBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LOTR

Contact information

Practice address
187 NINTH ST, JENA, LA 71342-3900
(318) 992-9269
Mailing address
612 HIGHWAY 772 E, JENA, LA 71342-3822
(318) 419-1020

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
329998
LA
225X00000X
Occupational Therapist
Primary
332721
LA

Other

Enumeration date
05/04/2022
Last updated
08/05/2022
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