Individual
MS. KELLY ANN SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
413 W TURNER RD, LODI, CA 95240-0530
(415) 794-1227
Mailing address
413 W TURNER RD, LODI, CA 95240-0530
(415) 794-1227
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13526
CA
225X00000X
Occupational Therapist
298281
OR
225X00000X
Occupational Therapist
—
CA
Other
Enumeration date
09/11/2015
Last updated
02/24/2025
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