Beulah Kellywood, COTA/L

NPI #1093136905 in Santa Fe, New Mexico

Provider Information

NPI Number
1093136905
Entity Type
Individual
Name
Beulah Kellywood, COTA/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Dec 18, 2013
Last Updated
Dec 18, 2013

Practice Location

Address
1300 CAMINO SIERRA VIS
ZIP Code
87505-1007
Phone
(505) 467-2504

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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