Individual
PATRICIA K KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA9207
Contact information
Practice address
602 VONDERBURG DR, 200, BRANDON, FL 33511-5900
(813) 653-1149
Mailing address
1213 TALLYWOOD DR, SARASOTA, FL 34237-3226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9207
FL
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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