Individual
MEGAN NICHOLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
18151 JEFFERSON PARK RD, CLEVELAND, OH 44130-3496
(330) 976-0325
Mailing address
2923 W 12TH ST # UP, CLEVELAND, OH 44113-5211
(440) 567-1446
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA008203
OH
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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