Individual
MRS. LAURA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
94 PEDDLER HILL RD, MONROE, NY 10950-2022
(845) 494-2211
Mailing address
94 PEDDLER HILL RD, MONROE, NY 10950-2022
(845) 494-2211
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007147-1
NY
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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