Laura Kelly

NPI #1073128401 in Tyler, Texas

Provider Information

NPI Number: 1073128401
Entity Type: Individual
Name: Laura Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 11, 2020
Last Updated: Sep 11, 2020

Practice Location

Address: 100 E FERGUSON ST STE 608
City: Tyler
State: Texas
ZIP Code: 75702-5756
Phone: (903) 705-0070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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