Individual
MS. DONNA LEE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY
Contact information
Practice address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 389-5629
(908) 301-5582
Mailing address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 389-5629
(908) 301-5582
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00215200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00215200
OT LICENCE NUMBER
NJ
Enumeration date
08/24/2007
Last updated
08/24/2007
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