Individual
MRS. HOLLIE DESLATTE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, PT, DPT
Contact information
Practice address
1022 CHRIS XING, WOODWORTH, LA 71485-4806
(225) 485-7876
Mailing address
1022 CHRIS XING, WOODWORTH, LA 71485-4806
(225) 485-7876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07767
LA
225X00000X
Occupational Therapist
OTT.200366
LA
Other
Enumeration date
04/29/2010
Last updated
07/21/2022
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