Individual
KELLY LYNN WILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
21585 PEABODY ST, LEONARDTOWN, MD 20650-2955
(301) 904-4820
Mailing address
157 BALTIMORE ST, CUMBERLAND, MD 21502-2472
(301) 722-3215
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
06680
MD
Other
Enumeration date
02/07/2011
Last updated
02/08/2023
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