Individual
MRS. KELLY-JO LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2600 NORTHAMPTON ST, EASTON, PA 18045-2656
(610) 250-0150
Mailing address
2600 NORTHAMPTON ST, EASTON, PA 18045-2656
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003480L
PA
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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