Individual
KELLI DAWN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8506 E 61ST ST, TULSA, OK 74133-1926
(918) 698-9073
Mailing address
8949 E 74TH ST, TULSA, OK 74133-3105
(918) 250-2104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT344
OK
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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