MR. Kelly Lon Drevecky, OT R/L

NPI #1457303695 in Minot, North Dakota

Provider Information

NPI Number: 1457303695
Entity Type: Individual
Name: MR. Kelly Lon Drevecky, OT R/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist - Pediatrics
Credential: OT R/L
Enumeration Date: May 16, 2006
Last Updated: Aug 7, 2008

Practice Location

Address: 700 HARMONY ST NW
City: Minot
State: North Dakota
ZIP Code: 58703-2892
Phone: (701) 720-5355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Occupational Therapist - Neurorehabilitation — Neurorehabilitation	225XN1300X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X	Primary

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Organizations

Provider Name	Specialty	City
Kelly Drevecky	Occupational Therapist - Pediatrics	Minot	AI Deep Dive

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