Individual
KELSEY LAVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
169 TEQUESTA DR STE 24E, TEQUESTA, FL 33469-4700
(561) 747-8188
Mailing address
8996 SE MARS ST, HOBE SOUND, FL 33455-5444
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT17302
FL
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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