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Individual

KELSEY JEAN KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5113 PIPER STATION DR, #103, CHARLOTTE, NC 28277-6689
(704) 752-1616
Mailing address
9240 CAMERON WOOD DR, CHARLOTTE, NC 28210-7904
(978) 807-7558

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
9809
NC

Other

Enumeration date
07/01/2015
Last updated
09/03/2024
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