Individual
STEFANIE RAY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 N ROSENBERGER AVE, EVANSVILLE, IN 47712-6503
(812) 491-3856
Mailing address
506 WIND CIR, EVANSVILLE, IN 47711-1013
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
99041100A
IN
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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