Individual
KELLY MAE STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
120 TREXLER AVENUE, KUTZTOWN MANOR, KUTZTOWN, PA 19530
(610) 683-6220
(610) 683-6849
Mailing address
2800 MANNERCHOR RD, TEMPLE, PA 19560-9604
(610) 921-2940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008877
PA
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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