Individual
KELLY NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 WESTON RD, WESTON, FL 33331-3638
(954) 589-1038
Mailing address
2800 WESTON RD, WESTON, FL 33331-3638
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 17681
FL
225X00000X
Occupational Therapist
OT4172
AL
Other
Enumeration date
01/29/2016
Last updated
09/07/2016
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