Mrs. Kelly Russo Stone
Mental Health Environmental Modification Feeding, Eating & Swallowing Occupational Therapist - Pediatrics and 2 more
145 Gitz Ln
Madisonville
, Louisiana 70447-9575
Mrs. Kelly Russo Stone
Mental Health Environmental Modification Feeding, Eating & Swallowing Occupational Therapist - Pediatrics and 2 more
145 Gitz Ln
Madisonville
, Louisiana 70447-9575
(678) 462-2923
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About
Features
Specialties
- Environmental Modification
- Feeding, Eating & Swallowing
- Mental Health
- Occupational Therapist - Neurorehabilitation
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Kelly Russo Stone
- 145 Gitz Ln
- Madisonville, LA
- Zip : 70447-9575
- Phone : (678) 462-2923
Second Address
- Mrs. Kelly Russo Stone
- 145 Gitz Ln
- Madisonville, LA
- Zip : 70447-9575
- Phone : (678) 462-2923
Reviews
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Is Mrs. Kelly Russo Stone a sole practitioner?
Is Mrs. Kelly Russo Stone accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225XE0001X | Environmental Modification | OT003287 | GA |
| N | 225XE0001X | Environmental Modification | OTT.Z1156 | LA |
| Y | 225XF0002X | Feeding, Eating & Swallowing | OTT.Z1156 | LA |
| N | 225XM0800X | Mental Health | OTT.Z1156 | LA |
| N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OTT.Z1156 | LA |
| N | 225XP0200X | Occupational Therapist - Pediatrics | OTT.Z1156 | LA |
National Provider Identifier
| NPI | 1104053529 |
|---|---|
| Provider Name | Mrs. Kelly Russo Stone |
| First Address | Madisonville, LA 70447-9575 |
| Second Address | Madisonville, LA 70447-9575 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2009 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.