Individual
SUSAN WALSH KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
174 S FREEPORT RD, SUITE 2A, FREEPORT, ME 04032-6145
(855) 239-3556
Mailing address
4 BAYVIEW AVE, SOUTH PORTLAND, ME 04106-3901
(207) 332-6547
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT424
ME
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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