Individual
ANGELA MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1469 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
(804) 477-6393
Mailing address
1317 APRIL WAY, HERNDON, VA 20170-3904
(571) 839-1278
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119-007016
VA
225X00000X
Occupational Therapist
0119007016
VA
Other
Enumeration date
08/04/2016
Last updated
11/08/2021
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