Individual
MRS. LINDA MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5 FOX DEN LN, STOCKHOLM, NJ 07460-1419
(973) 229-8301
Mailing address
5 FOX DEN LN, STOCKHOLM, NJ 07460-1419
(973) 229-8301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00613500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00613500
NJ OCCUPATIONAL THERAPY LICENSE NUMBER
NJ
Enumeration date
07/19/2021
Last updated
07/19/2021
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