Individual
JULIE A KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1803 KEPNER DR, ANCHORAGE, AK 99504-3061
(907) 240-9544
(907) 346-5437
Mailing address
PO BOX 112095, ANCHORAGE, AK 99511-2095
(907) 240-9544
(907) 346-5437
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
904
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT4736
—
AK
Enumeration date
12/14/2006
Last updated
02/25/2015
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