Individual
KELLEY O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 TIERRA DEL REY # A-1, CHULA VISTA, CA 91910-7886
(619) 585-7104
Mailing address
8428 DENTON ST, LA MESA, CA 91942-2711
(619) 248-1953
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26601
CA
Other
Enumeration date
07/03/2024
Last updated
08/15/2025
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