Individual
KELLY ANN FORISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2614A MEMORIAL BLVD, CONNELLSVILLE, PA 15425-1405
(724) 626-1071
(724) 626-1073
Mailing address
2614A MEMORIAL BLVD, CONNELLSVILLE, PA 15425-1405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015669
PA
Other
Enumeration date
06/11/2018
Last updated
11/08/2021
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