Shannon Kelly, OTR/L

NPI #1821535741 in Rocklin, California

Provider Information

NPI Number: 1821535741
Entity Type: Individual
Name: Shannon Kelly, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jan 30, 2017
Last Updated: Jan 30, 2017

Practice Location

Address: 6960 DESTINY DR STE 112
City: Rocklin
State: California
ZIP Code: 95677-2995
Phone: (916) 415-0119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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