Individual
LAUREN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 N CENTRAL AVE, HARTSDALE, NY 10530-1933
(914) 428-5151
Mailing address
549 ROUTE 94 N, WARWICK, NY 10990-3155
(845) 544-5330
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008882-1
NY
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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