Individual
KELSEY M SIMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
15 FOWLER COURT, RED BANK, NJ 07701
(732) 354-1404
Mailing address
15 FOWLER COURT, RED BANK, NJ 07701
(732) 354-1404
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00795100
NJ
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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