Individual
MRS. KELLY ANN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
622 ABERDEEN AVE, JORDAN, MN 55352-9516
(952) 492-2220
Mailing address
15930 CARVER HIGHLANDS DR, CARVER, MN 55315-9657
(612) 770-0243
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103544
MN
Other
Enumeration date
11/21/2012
Last updated
02/16/2023
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