Individual
KELLEY FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
102 LEONARD AVE, NEWTON, NC 28658-9649
(980) 505-4409
Mailing address
1156 HERITAGE FARM RD, HICKORY, NC 28601-9353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9635
NC
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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