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Individual

GRACE ANN KELLY

Active
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Individual

GRACE ANN KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119-008292
VA
225X00000X
Occupational Therapist
Primary
08437
MD
225X00000X
Occupational Therapist
12250
NC
225X00000X
Occupational Therapist
Primary
OT010001514
DC

Other

Enumeration date
04/09/2018
Last updated
04/17/2026
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