Individual
KELLIE E CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 AMBOY AVE, EDISON, NJ 08837-2825
(732) 346-9700
Mailing address
48 WADSWORTH TER, CRANFORD, NJ 07016-2571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00749800
NJ
Other
Enumeration date
03/02/2017
Last updated
03/17/2018
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