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Individual

KELLI PRATHER

Active
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Individual

KELLI PRATHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

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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