Individual
MRS. AMY ELIZABETH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 785-1149
Mailing address
10305 NAPOLEON ST, FREDERICKSBURG, VA 22408-8023
(540) 310-0142
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1014395
VA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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