Individual
MRS. KELLY K BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
4350 VIKING LOOP, BOSSIER CITY, LA 71111-7421
(318) 746-1199
(318) 409-8060
Mailing address
4350 VIKING LOOP, BOSSIER CITY, LA 71111-7421
(318) 746-1199
(318) 409-8060
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11593
LA
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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