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Individual

MR. KELLY PAUL TALBOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
8507 NE 8TH WAY, VANCOUVER, WA 98664-1980
(360) 254-5335
Mailing address
2512 W BRIDGE AVE, SPOKANE, WA 99201-1501
(504) 616-3718

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
60714537
MT
225X00000X
Occupational Therapist
Primary
60714537
WA
225X00000X
Occupational Therapist
OTT.200664
LA

Other

Enumeration date
08/08/2013
Last updated
04/17/2018
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