Individual
KELLY ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4100 WARRENSVILLE CENTER RD, STE 102, CLEVELAND, OH 44122-7024
(216) 561-0101
(216) 561-8915
Mailing address
23825 COMMERCE PARK, STE B, BEACHWOOD, OH 44122-5837
(216) 292-6363
(216) 292-6306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT05087
OH
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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