Individual
EMMA LOUISE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1005 E 23RD ST, SUITE 200, FREMONT, NE 68025-0800
(866) 784-2329
Mailing address
2095 270TH ST, OTHO, IA 50569-7523
(515) 351-0964
(515) 549-3488
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000836
IA
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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