MRS. Kelly Anne Fonville, MS OTR IL
NPI #1063484889 in Conover, North Carolina
Provider Information
- NPI Number
- 1063484889
- Entity Type
- Individual
- Name
- MRS. Kelly Anne Fonville, MS OTR IL
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist - Pediatrics
- Credential
- MS OTR IL
- Enumeration Date
- Feb 6, 2006
- Last Updated
- Jul 25, 2007
Practice Location
- Address
- 3301 OVERBROOK DR
- City
- Conover
- State
- North Carolina
- ZIP Code
- 28613-8227
- Phone
- (828) 256-9488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
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