Individual
AMANDA LYN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
496 MUNSELL RD, EAST PATCHOGUE, NY 11772-5617
(631) 332-6509
Mailing address
496 MUNSELL RD, EAST PATCHOGUE, NY 11772-5617
(631) 332-6509
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00715701
NY
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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