Individual
KELLY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
3124 CAMBRIDGE CIR, ALLENTOWN, PA 18104-2827
(610) 462-4625
Mailing address
3124 CAMBRIDGE CIR, ALLENTOWN, PA 18104-2827
(610) 462-4625
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC010475
PA
Other
Enumeration date
08/11/2009
Last updated
09/11/2013
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