Individual
MRS. KELLY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
39 LIMERICK RD, ARUNDEL, ME 04046-8158
(207) 985-7861
Mailing address
39 LIMERICK RD, ARUNDEL, ME 04046-8158
(207) 985-7861
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT380
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030968
ANTHEM BC/BS
ME
05
—
202420000
—
ME
Enumeration date
08/08/2006
Last updated
09/01/2023
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