Individual
ASHLEY KATE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
47 HUMPHREY DR, SYOSSET, NY 11791-4022
(516) 754-7182
Mailing address
30 VANDEWATER ST, FARMINGDALE, NY 11735-4540
(516) 754-7182
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
10/12/2023
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