Individual
AMY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 S VAN DIEN AVE, RIDGEWOOD, NJ 07450-5200
(201) 655-9610
Mailing address
432 JEFFERSON ST, RIDGEWOOD, NJ 07450-2212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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