Individual
MR. JAMES TRACY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1963 MEMORIAL PKWY SW, HUNTSVILLE, AL 35801-5036
(256) 265-7104
(256) 265-6655
Mailing address
1963 MEMORIAL PKWY SW, HUNTSVILLE, AL 35801-5036
(256) 265-7104
(256) 265-6655
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0142
AL
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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