Individual
LAFONDA MCKEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT,OTR/L
Contact information
Practice address
3211 E MOORES PIKE FL 3, BLOOMINGTON, IN 47401-7129
(812) 334-7604
(812) 334-7705
Mailing address
5485 S BRIGADIER BLVD, BLOOMINGTON, IN 47401-1000
(832) 349-6924
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005960A
IN
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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