Individual
MISS MICHELLE LYNN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
18 1ST ST SE, AUBURN, WA 98002-5059
(253) 336-4858
Mailing address
14429 SE 288TH ST, AUBURN, WA 98092-9311
(206) 459-6566
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60837899
WA
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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