Individual
KELLI TOAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
207 MAIN AVE W, WEST FARGO, ND 58078-1725
(701) 356-2003
Mailing address
207 MAIN AVE W, WEST FARGO, ND 58078-1725
(701) 356-2003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1340
ND
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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