Individual
DEBRA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3619 PEMBROOK DR, SARASOTA, FL 34239-6708
(615) 604-3297
Mailing address
3619 PEMBROOK DR, SARASOTA, FL 34239-6708
(615) 604-3297
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15671
FL
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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