NPI | 1073178372 |
---|---|
Doing Business As | KELLY D'AQUILLA, OT LLC |
Entity Type | Organization |
Authorized Contact | KELLY D'AQUILLA Owner 225-635-0149 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
Enumeration Date | 2019-05-02 |
Last Update Date | 2019-05-02 |