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Individual

AMALIA KELEMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1198
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1417
(864) 512-1823

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3624
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TH2185
SC
Enumeration date
12/14/2009
Last updated
02/18/2010
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