Individual
MRS. KELLEY LYNNE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1608 ROUTE 88 W, SUITE 112, BRICK, NJ 08724-3009
(734) 840-8100
(734) 840-0559
Mailing address
1608 ROUTE 88 W, SUITE 112, BRICK, NJ 08724-3009
(734) 840-8100
(734) 840-0559
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00373100
NJ
Other
Enumeration date
08/24/2007
Last updated
07/29/2008
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