Individual
KATHRYN MCLENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7015 HIGHWAY 190 EAST SERVICE RD STE 103, COVINGTON, LA 70433-4960
(985) 892-5716
(985) 892-5707
Mailing address
220 GRAND OAKS DR, MADISONVILLE, LA 70447-3166
(504) 289-2191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
305421
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305421
OCCUPATIONAL LICENSE
LA
Enumeration date
06/29/2017
Last updated
06/29/2017
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