Individual
KELLY MONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 GUM HOLLOW RD, OAK RIDGE, TN 37830-5609
(865) 356-1634
Mailing address
223 GUM HOLLOW RD, OAK RIDGE, TN 37830-5609
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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