Individual
KAYLIN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5648 GOTHAM ST, BELL GARDENS, CA 90201-5413
(562) 927-2641
Mailing address
2262 FOUNTAIN WAY W, COSTA MESA, CA 92627-2444
(856) 723-0632
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26331
CA
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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