Individual
KELLY GUICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
690 N BROADWAY STE GL3, WHITE PLAINS, NY 10603-2417
(914) 686-3116
Mailing address
12 DOUGLAS DR, KATONAH, NY 10536-1728
(914) 232-5647
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
14558-1
NY
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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