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Individual

MRS. KELLY LEE ARMSTRONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
6653 POWERS AVE STE 133, JACKSONVILLE, FL 32217-8806
(256) 364-9098
Mailing address
1689 ASTON HALL CT, JACKSONVILLE, FL 32246-0638
(256) 364-9098

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10180
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
886659700
FL
Enumeration date
05/11/2007
Last updated
03/13/2012
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