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Individual

ELISE MARIE KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3235 MILL VISTA RD, HIGHLANDS RANCH, CO 80129-2440
(303) 876-8355
Mailing address
1315 NORMANDY RD, GOLDEN, CO 80401-4124
(720) 315-9311

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2913
CO
225XG0600X
Gerontology Occupational Therapist
2913
CO

Other

Enumeration date
10/09/2018
Last updated
10/09/2018
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