| Ms Kellie Dare Dickinson, LOT | |
|
10001 Hyde Pl, River Ridge, LA 70123-1521 | |
| (504) 831-0449 | |
| Not Available |
| Full Name | Ms Kellie Dare Dickinson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 10001 Hyde Pl, River Ridge, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154555688 | NPI | - | NPPES |
| Z10176 | Other | LA | STATE BOARD OF MEDICAL EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | Z10176 (Louisiana) | Primary |
| 225XP0200X | Occupational Therapist - Pediatrics | Z10176 (Louisiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kellie Dare Dickinson, LOT 10001 Hyde Pl, River Ridge, LA 70123-1521 Ph: (504) 831-0449 | Ms Kellie Dare Dickinson, LOT 10001 Hyde Pl, River Ridge, LA 70123-1521 Ph: (504) 831-0449 |
Ms. Linda Hymel Reine, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9813 Martha Ln, River Ridge, LA 70123 Phone: 504-232-0768 Fax: 504-738-2625 |