Individual
ALICIA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11131 NAOMI DR, PARMA, OH 44130-1555
(330) 410-3762
Mailing address
11131 NAOMI DR, PARMA, OH 44130-1555
(330) 410-3762
Taxonomy
Speciality
Code
Description
License number
State
283XC2000X
Children's Rehabilitation Hospital
Primary
—
OH
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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