Individual
MS. JENNIFER EMILY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTRL
Contact information
Practice address
425 PHILLIPS HILL RD, COVENTRY, RI 02816-4841
(401) 385-3558
Mailing address
425 PHILLIPS HILL RD, COVENTRY, RI 02816-4841
(401) 623-0124
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00357
RI
225X00000X
Occupational Therapist
OT01352
RI
Other
Enumeration date
03/22/2007
Last updated
09/16/2016
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