Individual
MRS. KELLY NOEL GREENLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
801 MIDDLEFORD RD, SEAFORD, DE 19973-3636
(302) 628-3000
Mailing address
18848 WASHINGTON STREET, LINCOLN, DE 19960-3128
(302) 422-3254
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U20000662
DE
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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