KELLY MCINNIS

SHREVEPORT, LA
NPI1194210161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  OTT.Z12020)
Enumeration Date2018-06-22
Last Update Date2018-06-22
Business Address
KELLY MCINNIS OT
1800 BUCKNER ST STE C249
SHREVEPORT, LA 71101-4447
Phone number: 318-934-1969
Mailing Address
KELLY MCINNIS OT
PO BOX 1377
WEST MONROE, LA 71294-1377
Phone number: 318-396-1969