Individual
KELSIE DEERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1417 FAN RD, WAUKON, IA 52172-7729
(319) 540-2860
Mailing address
1417 FAN RD, WAUKON, IA 52172-7729
(319) 540-2860
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
080450
IA
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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