Individual
ERICA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
17 SAGAMORE DRIVE, SEYMOUR, CT 06483
(203) 231-4831
Mailing address
17 SAGAMORE DRIVE, SEYMOUR, CT 06483
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004588
CT
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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