Individual
KELLY ANN KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9225 UNIVERSITY BLVD STE E2C, NORTH CHARLESTON, SC 29406-9149
(843) 569-4546
(843) 569-4535
Mailing address
1555 HARBOR SUN DRIVE, CHARLESTON, SC 29412-4404
(843) 569-4546
(843) 569-4535
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3475
SC
Other
Enumeration date
07/19/2016
Last updated
10/20/2017
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