Individual
COLLEEN KELLY
Active
Individual
COLLEEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC015471
PA
225X00000X
Occupational Therapist
Primary
OT.0006226
CO
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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