Individual
KELLYN LESLIE AIRHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7246 FOREST HILL AVE, RICHMOND, VA 23225-1524
(804) 320-7901
Mailing address
3007 LIBBY TER, RICHMOND, VA 23223-7909
(325) 977-0268
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007623
VA
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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