Individual
MRS. KELLIE ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2080 CITYGATE DR, COLUMBUS, OH 43219-3591
(614) 445-3750
Mailing address
2080 CITYGATE DR, COLUMBUS, OH 43219-3591
(614) 445-3750
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
109917
TX
225XP0200X
Pediatric Occupational Therapist
Primary
6199
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T0414
BCBS PROVIDER #
TX
Enumeration date
03/13/2007
Last updated
02/05/2014
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