Individual
MS. JENNIFER RENEE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
228 SIEMON DR, SOMERSET, PA 15501-7055
(814) 443-2811
Mailing address
104 BANDO RD, SOMERSET, PA 15501-4615
(814) 445-2718
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001589L
PA
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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