Individual
KELLY C HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
3470 UTICA RIDGE ROAD, SUITE 4, BETTENDORF, IA 52722
(563) 326-0700
Mailing address
5403 VICTORIA AVE, SUITE 20, DAVENPORT, IA 52807-3925
(563) 327-0133
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002248
IA
225X00000X
Occupational Therapist
056.009899
IL
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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