Individual
KELLY GEKAS CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4780 DATA CT, ORLANDO, FL 32817-8331
(407) 852-3300
Mailing address
4780 DATA CT, ORLANDO, FL 32817-8331
(407) 852-3300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
OT23016
FL
Other
Enumeration date
04/02/2018
Last updated
05/06/2022
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