Organization
ELLIOTT SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LESLEY ANN OTTS CCC-SLP (SLP, MANAGING MEMBER)
(225) 270-4790
Entity
Organization
Contact information
Practice address
2917 HIGHWAY 171, HORNBECK, LA 71439-1420
(225) 270-4790
Mailing address
2917 HIGHWAY 171, HORNBECK, LA 71439-1420
(225) 270-4790
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5011
LA
Other
Enumeration date
05/20/2012
Last updated
05/20/2012
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