Individual
MARY LEE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 NATIONAL RD, WHEELING, WV 26003-5705
(304) 242-1390
(304) 243-5880
Mailing address
1305 NATIONAL RD, WHEELING, WV 26003-5705
(304) 242-1390
(304) 243-5880
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
004260
OH
225XP0200X
Pediatric Occupational Therapist
Primary
736
WV
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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