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Individual

MS. KELLY A WILLIAMS WYCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 424-5080
Mailing address
541 VALLEY VIEW DR, LEWISVILLE, TX 75067-7772
(919) 920-4506

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
116166
TX
225X00000X
Occupational Therapist
4537
NC

Other

Enumeration date
06/25/2007
Last updated
07/02/2014
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