Individual
KELLI PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 SUMMIT RD STE 105, CINCINNATI, OH 45237-2818
(513) 258-9586
Mailing address
PO BOX 141049, CINCINNATI, OH 45250-1049
(513) 258-9586
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
013794
NY
225X00000X
Occupational Therapist
Primary
OT-006158
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013794-1
OCCUPATIONAL THERAPIST
NY
01
—
OT-006158
OCCUPATIONAL THERAPIST
OH
Enumeration date
08/20/2006
Last updated
03/17/2018
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