Individual
NICOLE KELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
382 S MAIN ST, CHESHIRE, CT 06410-1379
(203) 250-9663
Mailing address
995 DAY HILL RD, WINDSOR, CT 06095-1722
(860) 731-5522
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
02/02/2024
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