Individual
MRS. KELLY MARIE MUSIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3498 GREEN VALLEY RD, RESCUE, CA 95672-9625
(530) 391-8670
Mailing address
3840 WHISPERING PINES LN, SHINGLE SPRINGS, CA 95682-8764
(530) 677-7381
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4478
CA
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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