Individual
GRACE ANN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4401 OLD AIRPORT RD, CONCORD, NC 28025-7188
(704) 260-5600
Mailing address
4401 OLD AIRPORT RD, CONCORD, NC 28025-7188
(704) 260-5600
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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