Individual
KELLY LOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
261 GREEVES RD, NEW HAMPTON, NY 10958-3927
(757) 304-7557
Mailing address
261 GREEVES RD, NEW HAMPTON, NY 10958-3927
(757) 304-7557
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011194
NY
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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