Individual
MRS. COLLEEN ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-4881
(508) 747-2012
Mailing address
64 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-4881
(508) 747-2012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7704
MA
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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