Individual
KELLY LIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
136 DONAHUE MANOR RD, BEDFORD, PA 15522-9728
(814) 623-9075
(814) 623-7336
Mailing address
1664 PRINCETON RD, ALTOONA, PA 16602-7449
(814) 623-9075
(814) 623-7336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009259
PA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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