Individual
ABBY LOU FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
429 ROCKY BAYOU DRIVE, PINEVILLE, LA 71360
(318) 545-4120
Mailing address
3444 MASONIC DRIVE, ALEXANDRIA, LA 71301
(318) 441-8329
(318) 441-8339
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
324411
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2619969
—
LA
Enumeration date
10/05/2020
Last updated
10/25/2023
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