Individual
KELLY ELIZABETH CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
18370 LIMESTONE CREEK RD, JUPITER, FL 33458-3860
(561) 598-6200
Mailing address
18370 LIMESTONE CREEK RD, JUPITER, FL 33458-3860
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT24927
FL
Other
Enumeration date
03/04/2024
Last updated
11/15/2024
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