Kelley D Lawless, COTA/L

NPI #1912130444 in Havana, Illinois

Provider Information

NPI Number
1912130444
Entity Type
Individual
Name
Kelley D Lawless, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Sep 1, 2009
Last Updated
Sep 1, 2009

Practice Location

Address
615 N PROMENADE ST
City
Havana
ZIP Code
62644-1243
Phone
(309) 543-8578

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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