Kelly Thacker, OT

NPI #1558386672 in Parlin, New Jersey

Provider Information

NPI Number: 1558386672
Entity Type: Individual
Name: Kelly Thacker, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jul 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7 PARLIN DR
City: Parlin
State: New Jersey
ZIP Code: 08859-2241
Phone: (732) 238-8484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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