Individual
REBECCA ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 55425-1230
(612) 331-9413
Mailing address
721 COMMERCE DRIVE, WOODBURY, MN 55125
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
105923
MN
Other
Enumeration date
11/22/2019
Last updated
11/16/2021
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