Individual
KELLEY ELISE VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
255 PRIMERA BLVD STE 160, LAKE MARY, FL 32746-2168
(407) 951-4280
(407) 804-9769
Mailing address
255 PRIMERA BLVD STE 160, LAKE MARY, FL 32746-2168
(407) 362-1902
(407) 804-9769
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OT17692
FL
Other
Enumeration date
03/18/2009
Last updated
03/11/2025
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