Individual
KATHERINE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
150 ELDEN ST STE 270, HERNDON, VA 20170-4845
(703) 536-1817
Mailing address
12873 MOUNTAIN RD, LOVETTSVILLE, VA 20180-2807
(540) 687-1636
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
404009
VA
Other
Enumeration date
06/30/2018
Last updated
06/30/2018
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