Individual
KELLY NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L;PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA1029
FL
225X00000X
Occupational Therapist
Primary
OT8422
FL
Other
Enumeration date
12/07/2007
Last updated
05/10/2012
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