Individual
AMANDA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2707 171ST PL NE STE 101, MARYSVILLE, WA 98271-4740
(716) 771-6699
Mailing address
1205 MCLEAN RD, MOUNT VERNON, WA 98273-9297
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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