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Individual

MRS. KATHLEEN MARIE KARELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
346
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A016
TRICARE
05
OT52771
AK
Enumeration date
03/03/2006
Last updated
05/20/2016
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