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

MRS. CARLA FISHER KELLY, P.T.

Active Sole Proprietor

MRS. CARLA FISHER KELLY, P.T. is a Pediatric Occupational Therapy healthcare provider located in MANDEVILLE, Louisiana. NPI 1508026311 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · MANDEVILLE, LA

Registration Details

NPI Number
1508026311
Provider Type
Individual
Gender
Female
NPI Issued
Jun 15, 2008 (18.182333455232 yrs)
Last Updated
Jan 24, 2012
Licenses
03723 (LA)
PTH4543 (AL)
Sole Proprietor
Yes

Practice Information

Address
104 OAK ALY
MANDEVILLE, LA, 704713062
Browse LA providers · Browse ZIP 70471
Phone
2515104016
Primary Specialty
Pediatric Occupational Therapy
2251P0200X
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.