Individual
KELLY ELIZABETH MUSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
755 OHLTOWN RD, AUSTINTOWN, OH 44515-1075
(339) 505-0144
Mailing address
3283 NILES CORTLAND RD NE, CORTLAND, OH 44410-1739
(330) 718-4748
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010301
OH
Other
Enumeration date
03/31/2019
Last updated
03/31/2019
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