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Individual

KELLY CARRERAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
13801 ST FRANCIS BLVD STE 200, MIDLOTHIAN, VA 23114-3206
(804) 320-4064
(804) 287-2786
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119-009698
VA

Other

Enumeration date
10/19/2022
Last updated
10/25/2022
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