Individual
KELSEY SHAWN PINKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 AVENUE G, ELY, NV 89301-2539
(775) 289-8801
Mailing address
783 RIVERBEND DR, CLARK, NJ 07066-1912
(732) 713-0001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2090
NV
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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