Individual
MS. KELLY CAROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
100 DEBARTOLO PL, YOUNGSTOWN, OH 44512-7011
(234) 421-5035
Mailing address
100 DEBARTOLO PL, YOUNGSTOWN, OH 44512-7011
(234) 421-5035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.007601
OH
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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