KIDS IN MOTION PEDIATRIC OCCUPATIONAL THERAPY, LLC
Restorative Service Providers at Lorino St, Metairie, LA

License number
Louisiana OTT.200528
Category
Restorative Service Providers
Type
Pediatrics
Owner
Name: MRS. MELISSA SPITZNAGEL M.S., OTR/L
Title: OWNER / THERAPIST
Phone: (504) 416-4815
Address
Address
4517 Lorino St, Metairie, LA 70006
National Provider ID: 1093051039
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KIDS IN MOTION PEDIATRIC OCCUPATIONAL THERAPY, LLC

Metairie, LA  -  Fort Walton Beach, FL

Status:
Inactive
Industry:
Specialty Outpatient Clinic
Registration:
Sep 25, 2012
Addresses:
4517 Lorino St, Metairie, LA 70006 (Physical)
412 Adam St, Fort Walton Beach, FL 32548 (Mailing)
State ID:
40950013K
Business type:
Limited Liability Company
Manager, Members:
Melissa Spitznagel (Manager, Member), 412 Adam St, Fort Walton Beach, FL 32548 (Physical),Ryan Spitznagel (Manager, Member), 412 Adam St, Fort Walton Beach, FL 32548 (Physical)

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