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Kaitlyn Reaux Johnson, LOTR

Occupational Therapist in Carencro, LA. Individual provider (NPI-1).

NPI number1669997672
StatusActive
Last updated in NPPESAug 10, 2017

Details

NPI
1669997672
Entity type
Individual (NPI-1)
Name
Kaitlyn Reaux Johnson
Credential
LOTR
Sex
Female
Sole proprietor
No
Enumeration date
Aug 10, 2017
Last updated
Aug 10, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist304852LAYes

Practice location

204 E Saint Peter St
Carencro, LA 70520-4009

Phone 337-896-6686 · Fax 337-565-6003

Mailing address

2002 Johnson St Ste 100
Jennings, LA 70546-3640

Phone 337-824-4547 · Fax 337-824-4548

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