Individual
LYNNE FOLGER KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
711 E MISSOURI AVE STE 120, PHOENIX, AZ 85014-2811
(602) 433-1200
Mailing address
711 E MISSOURI AVE STE 120, PHOENIX, AZ 85014-2811
(602) 433-1200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5069
AZ
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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