Individual
MRS. KELLY L SORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4560 SE INTERNATION WAY STE 100, MILWAUKIE, OR 97222
(971) 206-2314
Mailing address
11531 SWINFORD LN, MOKENA, IL 60448-9274
(219) 796-9335
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003191
IL
Other
Enumeration date
11/09/2010
Last updated
11/10/2014
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