Individual
LAUREN ASHLEY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1407 KINGS HWY, CHESTER, NY 10918-3030
(845) 827-5360
Mailing address
23 STONEWALL RD, MONROE, NY 10950-5335
(845) 820-1274
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009902
NY
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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