Individual
KELLY CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
415 ELDERBERRY LN, MARSHALL, NC 28753-6369
(828) 649-9345
Mailing address
415 ELDERBERRY LN, MARSHALL, NC 28753-6369
(828) 649-9345
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9909
NC
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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