Individual
MS. CAROL ANN KIELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
(352) 505-6363
Mailing address
2036 NW 34TH TER, GAINESVILLE, FL 32605-3614
(352) 871-5375
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15022
FL
Other
Enumeration date
01/28/2012
Last updated
01/28/2012
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