Individual
KELLY M KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1131 BALTIMORE PIKE, BEL AIR, MD 21014-5132
(410) 838-6070
(410) 838-6961
Mailing address
807A S UNION AVE, HAVRE DE GRACE, MD 21078-3610
(410) 939-2262
(410) 939-7119
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02411
MD
Other
Enumeration date
04/28/2006
Last updated
04/18/2018
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