Individual
MRS. KELLY ANN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1668 BISHOPWOOD BLVD E, HARLEYSVILLE, PA 19438-3047
(201) 400-6268
Mailing address
1668 BISHOPWOOD BLVD E, HARLEYSVILLE, PA 19438-3047
(201) 400-6268
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009676
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016417830001
—
PA
Enumeration date
04/03/2007
Last updated
05/26/2015
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