Individual
BETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
260 E CHASE AVE, EL CAJON, CA 92020-6325
(619) 647-6157
Mailing address
260 E CHASE AVE, EL CAJON, CA 92020-6325
(619) 647-6157
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
15152
CA
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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