Individual
MRS. KELLY BASKIN KUGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3080 JACKSON HWY UNIT F5, CHEHALIS, WA 98532-7701
(704) 576-2187
Mailing address
3080 JACKSON HWY UNIT F5, CHEHALIS, WA 98532-7701
(704) 576-2187
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60790430
WA
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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