Individual
KAYLEE EARLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
2 KEEWAYDIN DR, SALEM, NH 03079-2839
(800) 995-2673
(888) 979-6551
Mailing address
2 KEEWAYDIN DR, SALEM, NH 03079-2839
(800) 995-2673
(888) 979-6551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
303064
OR
225X00000X
Occupational Therapist
OT.0003827
CO
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-6113
MT
Other
Enumeration date
09/28/2016
Last updated
11/05/2019
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