Individual
KELLI ANNE FARHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5446 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-3644
(719) 598-5555
Mailing address
4445 EASTGATE MALL, STE 105, SAN DIEGO, CA 92121-1979
(858) 357-9450
(858) 412-6376
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014254700
—
FL
Enumeration date
09/08/2017
Last updated
07/21/2022
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