Individual
KELLIE MACELDOWNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
11 BRIDGEWATER DR, MARLTON, NJ 08053-4207
(856) 745-4591
Mailing address
11 BRIDGEWATER DR, MARLTON, NJ 08053-4207
(856) 745-4591
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
TR4600238300
NJ
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
TR4600238300
NJ
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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