Organization
BRINA KELLY OT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRINA KELLY MS, OTR/L (OWNER)
(207) 939-1113
Entity
Organization
Contact information
Practice address
10 PLEASANT AVE, PORTLAND, ME 04103-3218
(207) 939-1113
Mailing address
10 PLEASANT AVE, PORTLAND, ME 04103-3218
(207) 939-1113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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