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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KELLY RUSSO STONE, OTR/L

Active Sole Proprietor

MRS. KELLY RUSSO STONE, OTR/L is a Pediatric Occupational Therapist healthcare provider located in MANDEVILLE, Louisiana. NPI 1104053529 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · MANDEVILLE, LA

Registration Details

NPI Number
1104053529
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2009 (16.989257105448 yrs)
Last Updated
Jun 20, 2023
Licenses
OTT.Z1156 (LA)
OTT.Z1156 (LA)
OTT.Z1156 (LA)
OTT.Z1156 (LA)
OTT.Z1156 (LA)
Sole Proprietor
Yes

Practice Information

Address
505 LOUVOIS ST
MANDEVILLE, LA, 704485468
Browse LA providers · Browse ZIP 70448
Phone
6784622923
Fax
8667534652
Primary Specialty
Pediatric Occupational Therapist
225XP0200X

Other Pediatric Occupational Therapist Providers in MANDEVILLE, LA

Name Credential NPI
MRS. MARY JENNETTE MCCLOY OTR L 1073727905
AMANDA HOFFMAN DUHE MOT, LOTR 1760976906
NICOLE RENAE BYRD MOT/LOTR 1255114369
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.