Individual
MRS. KELLY ELIZABETH STANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
300 W STATE HIGHWAY 6, WACO, TX 76712-4041
(254) 761-8500
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215617
TX
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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