MS. Kellie Dare Dickinson, L.O.T

NPI #1154555688 in River Ridge, Louisiana

Provider Information

NPI Number: 1154555688
Entity Type: Individual
Name: MS. Kellie Dare Dickinson, L.O.T
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: L.O.T
Enumeration Date: May 12, 2009
Last Updated: May 12, 2009

Practice Location

Address: 10001 HYDE PL
City: River Ridge
State: Louisiana
ZIP Code: 70123-1521
Phone: (504) 831-0449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X

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