Individual
HEIDI MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1 VA CENTER, AUGUSTA, ME 04330
(207) 623-8411
(207) 623-5728
Mailing address
1 VA CENTER, AUGUSTA, ME 04330
(207) 623-8411
(207) 623-5728
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT2067
ME
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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