Individual
DR. KELSEY RENE FEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1621 ANDREA DR, NEW LENOX, IL 60451-2303
(779) 435-0724
Mailing address
PO BOX 405, NEW LENOX, IL 60451-0405
(779) 435-0724
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015016
IL
Other
Enumeration date
10/17/2022
Last updated
10/20/2022
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