Individual
MRS. KARIANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR L
Contact information
Practice address
45 CROSSWAY E, BOHEMIA, NY 11716-1204
(631) 218-4949
Mailing address
11 WHITE OAK ST, MIDDLE ISLAND, NY 11953-1435
(631) 775-9698
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
010735-1
NY
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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