Individual
MRS. AMY THERESA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SPECIAL EDUCATION
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 425-1004
Mailing address
601 CLINTON ST, FAYETTEVILLE, NY 13066-2015
(315) 425-1004
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NY
Other
Enumeration date
06/05/2012
Last updated
07/21/2022
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