James Edward Kelly JR., OTR/L

NPI #1083221949 in Ticonderoga, New York

Provider Information

NPI Number: 1083221949
Entity Type: Individual
Name: James Edward Kelly JR., OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Sep 25, 2020
Last Updated: Sep 25, 2020

Practice Location

Address: 45 MONTCALM ST
City: Ticonderoga
State: New York
ZIP Code: 12883-1343
Phone: (518) 585-6230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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