Individual
KELLY S LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
102 BUSINESS WAY, STAUNTON, VA 24401-4593
(540) 886-5777
(540) 886-5776
Mailing address
102 BUSINESS WAY, STAUNTON, VA 24401-4593
(540) 886-5777
(540) 886-5776
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003331
VA
Other
Enumeration date
02/13/2006
Last updated
06/04/2013
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