Individual
MRS. JEAN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
374 BRINK ST, LAWRENCEBURG, TN 38464-3280
(931) 762-6548
Mailing address
1102 5TH AVE, LAWRENCEBURG, TN 38464-2780
(931) 762-5593
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2148
TN
Other
Enumeration date
08/12/2006
Last updated
09/27/2011
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