Individual
MS. KELLY MEREDITH HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1507 ROSEWALK LN, ROANOKE, VA 24014-7200
(540) 309-0751
Mailing address
1507 ROSEWALK LN, ROANOKE, VA 24014-7200
(540) 309-0751
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0119003838
VA
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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