Individual
MS. KELLY CONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1 HOOSICK MEADOWS WAY, APT 15, HOOSICK FALLS, NY 12090-3939
(518) 205-5011
Mailing address
1 HOOSICK MEADOWS WAY, APT 15, HOOSICK FALLS, NY 12090-3939
(518) 205-5011
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
NY
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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