Individual
MS. SUSAN EVE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA,OTL
Contact information
Practice address
79 BLUEBERRY LA, LACONIA, NH 03246
(603) 524-3340
Mailing address
207 FORT POINT RD, ALTON BAY, NH 03810-6071
(603) 875-2523
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0887
NH
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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