Individual
AMELIA LEE KELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
50 EXECUTIVE WAY, PONTE VEDRA, FL 32082-2771
(904) 644-1974
Mailing address
50 EXECUTIVE WAY, PONTE VEDRA, FL 32082-2771
(904) 644-1974
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
133246
AK
225XP0200X
Pediatric Occupational Therapist
Primary
OT21620
FL
Other
Enumeration date
06/26/2018
Last updated
11/30/2023
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