Individual
ALEXIS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
801 HAZEN ST, PAW PAW, MI 49079-2008
(269) 655-3334
(269) 657-6523
Mailing address
801 HAZEN ST, PAW PAW, MI 49079-2008
(269) 655-3334
(269) 657-6523
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010720
MI
Other
Enumeration date
09/24/2014
Last updated
11/05/2019
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