Individual
KELLY MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
808 BACON ST, DURHAM, NC 27703-5006
(919) 560-2000
Mailing address
808 BACON ST, DURHAM, NC 27703-5006
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009795
VA
225X00000X
Occupational Therapist
Primary
18228
NC
Other
Enumeration date
02/09/2023
Last updated
05/06/2026
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