Individual
MADELINE ELIZABETH KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
219 CAPITOL ST STE 3, AUGUSTA, ME 04330-6237
(207) 623-3900
Mailing address
219 CAPITOL ST STE 3, AUGUSTA, ME 04330-6237
(207) 623-3900
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
TO2906
ME
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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