Individual
CHRISTOPHER KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 TRAP ROCK CIR, NEW CITY, NY 10956-6919
(845) 300-1057
Mailing address
10 TRAP ROCK CIR, NEW CITY, NY 10956-6919
(845) 300-1057
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006420
NY
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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