Individual
KELSEY ADCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
505 W WOLFE ST, SULLIVAN, IN 47882-9224
(812) 268-6361
Mailing address
505 W WOLFE ST, SULLIVAN, IN 47882-9224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006903A
IN
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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