KELLY JACKSON CAIN

MONROE, LA
NPI1134978000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: LA  OTA.Z20652)
Enumeration Date2024-05-14
Last Update Date2024-05-22
Business Address
KELLY JACKSON CAIN LCOTA
1605 STUBBS AVE
MONROE, LA 71201-5629
Phone number: 318-388-8414
Mailing Address
KELLY JACKSON CAIN LCOTA
1605 STUBBS AVE
MONROE, LA 71201-5629
Phone number: 318-388-8414