Individual
ELIZABETH KELSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 882-1783
Mailing address
3310 W MICHIGAN ST, EVANSVILLE, IN 47712-7814
(812) 604-7545
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001556A
IN
Other
Enumeration date
09/23/2012
Last updated
09/23/2012
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