Individual
MRS. LANIA D'AMORE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1007 PORTERS NECK RD, WILMINGTON, NC 28411-7383
(910) 686-6506
Mailing address
12 BORDEN AVE, WILMINGTON, NC 28403-1102
(910) 772-1373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4524
NC
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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