Individual
KELLY CELESTE EICHELBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ORT/L
Contact information
Practice address
525 FOUNTAIN ROW SW, HUNTSVILLE, AL 35801-4335
(361) 876-2254
Mailing address
1054 GRANT ST SE, DECATUR, AL 35601-3128
(361) 876-2254
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4754
AL
Other
Enumeration date
10/06/2022
Last updated
04/17/2023
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