Individual
SHANNON ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1336 BELMONT AVE # 502, SALISBURY, MD 21804-4500
(410) 546-2894
Mailing address
6 BRIELLE AVE, EGG HARBOR TOWNSHIP, NJ 08234-5732
(609) 703-5411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
09273
MD
246Z00000X
Other Specialist/Technologist
Primary
09273
MD
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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