Individual
MICHELLE JELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6770 PARKER FARM DR, WILMINGTON, NC 28405-3183
(910) 679-8385
Mailing address
210 LIBERTY HILL RD, LUMBERTON, NC 28358-2442
(910) 272-9056
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8667
NC
225X00000X
Occupational Therapist
OT15738
FL
Other
Enumeration date
04/11/2013
Last updated
03/07/2017
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