Individual
KELLY MAKENNA LOUGHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
Mailing address
PO BOX 30818, MYRTLE BEACH, SC 29588-0014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6975
SC
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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