Individual
MRS. ALESHA NICOL KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6160 CROWNE CREEK DR APT 104, MIDLOTHIAN, VA 23112-8313
(804) 536-9371
Mailing address
6160 CROWNE CREEK DR APT 104, MIDLOTHIAN, VA 23112-8313
(804) 536-9371
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000280
VA
Other
Enumeration date
04/30/2008
Last updated
10/22/2012
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