Individual
KELLI NOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
195 SUMMER LANE DR, COLUMBUS, MS 39702-9703
(662) 549-5065
Mailing address
195 SUMMER LANE DR, COLUMBUS, MS 39702-9703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2710
MS
225X00000X
Occupational Therapist
3837
AL
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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