Individual
KALELA LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 BOWMAN RD UNIT 105, MOUNT PLEASANT, SC 29464-3803
(877) 407-3422
(877) 407-4329
Mailing address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
(877) 407-3422
(877) 407-4329
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3756
SC
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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