Individual
MARY CATHERINE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
2408 SOUTH BLVD # 660, CHARLOTTE, NC 28203-6989
(256) 221-7039
Mailing address
2408 SOUTH BLVD # 660, CHARLOTTE, NC 28203-6989
(256) 221-7039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17549
NC
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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