Individual
MRS. KELLY MARIE TRAINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1204 WINDSONG DR, GREENVILLE, NC 27858-9742
(252) 341-4025
(252) 296-1400
Mailing address
1204 WINDSONG DR, GREENVILLE, NC 27858-9742
(252) 341-4025
(252) 296-1400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4011
NC
225XP0200X
Pediatric Occupational Therapist
4011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301628
—
NC
Enumeration date
08/23/2006
Last updated
10/02/2024
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