Individual
KELSEY PETREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
287 N 11TH ST, WILLIAMSBURG, KY 40769-1759
(606) 549-4321
Mailing address
82 CORN CREEK CHURCH RD, WOODBINE, KY 40771-9700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
162403
KY
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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