Individual
JENNY KELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
16250 KNOLL TRAIL DR STE 101, DALLAS, TX 75248-2868
(214) 679-3891
(469) 405-2994
Mailing address
PO BOX 835613, RICHARDSON, TX 75083-5613
(214) 679-3891
(469) 405-2994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108852
TX
225XP0019X
Physical Rehabilitation Occupational Therapist
108852
TX
Other
Enumeration date
11/14/2011
Last updated
03/07/2024
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