Individual
COLLEEN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
218 REDONDO AVE APT 7, LONG BEACH, CA 90803-5903
(401) 787-5878
Mailing address
218 REDONDO AVE APT 7, LONG BEACH, CA 90803-5903
(401) 787-5878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14470
CA
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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