Individual
KELSEY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3807 FISH POND LN, GLEN ALLEN, VA 23060-5947
(800) 330-7711
Mailing address
3807 FISH POND LN, GLEN ALLEN, VA 23060-5947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006642
VA
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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