MR. James Kelly Bazelais, OTA
NPI #1548608920 in Kennett Square, Pennsylvania
Provider Information
- NPI Number
- 1548608920
- Entity Type
- Individual
- Name
- MR. James Kelly Bazelais, OTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician, Other
- Credential
- OTA
- Enumeration Date
- Jun 7, 2013
- Last Updated
- Jun 7, 2013
Practice Location
- Address
- 600 S BROAD ST
- City
- Kennett Square
- State
- Pennsylvania
- ZIP Code
- 19348-3346
- Phone
- (610) 924-4561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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