Kelly Ann Malloy

NPI 1740414614 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1740414614
Gender Female
Enumeration Date 05/07/2009
Last Updated 05/07/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2810 AMBASSADOR CAFFERY PKWY
LAFAYETTE LA, 70506-5906, US
Phone (337) 989-6797
Fax (337) 989-6759
Business Location
114 RIVERBIRCH DR
LAFAYETTE LA, 70508-1819, US
Phone (337) 950-1317
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Louisiana
License Number OTA200055
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According to our database, Kelly Ann Malloy NPI is 1740414614, taxonomy code is 224Z00000X and license number is OTA200055, license state is located at Louisiana. Kelly Ann Malloy physically located at 2810 Ambassador Caffery Pkwy, Lafayette LA, 70506-5906. NPI Number Kelly Ann Malloy has the Individual type.

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1740414614 NPI number is provided on an as is basis without warranty of any kind. 1740414614 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Ann Malloy are for informational purposes only.