Individual
KELLIE M WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, MS, OTR/L, CHT
Contact information
Practice address
2200 FOWLER GROVE BLVD, WINTER GARDEN, FL 34787-5597
(407) 614-0533
Mailing address
11220 CEDAR GROVE CT, WINDERMERE, FL 34786-3415
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10964
FL
Other
Enumeration date
11/16/2017
Last updated
02/16/2024
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