Individual
KELLY O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 OAK GROVE RD, SPARTANBURG, SC 29301-2537
(864) 595-4225
Mailing address
355 OAK GROVE RD, SPARTANBURG, SC 29301-2537
(864) 595-4225
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5811
SC
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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