Mrs. Tina Kelly
Occupational Therapist - Pediatrics
21 Brittany Blvd
Marlton
, New Jersey 08053-5513
Mrs. Tina Kelly
Occupational Therapist - Pediatrics
21 Brittany Blvd
Marlton
, New Jersey 08053-5513
(215) 622-6526
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Tina Kelly
- 21 Brittany Blvd
- Marlton, NJ
- Zip : 08053-5513
- Phone : (215) 622-6526
Second Address
- Mrs. Tina Kelly
- 21 Brittany Blvd
- Marlton, NJ
- Zip : 08053-5513
- Phone : (215) 622-6526
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Is Mrs. Tina Kelly a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | OC011304 | PA |
National Provider Identifier
| NPI | 1073066908 |
|---|---|
| Provider Name | Mrs. Tina Kelly |
| First Address | Marlton, NJ 08053-5513 |
| Second Address | Marlton, NJ 08053-5513 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2016 |
| Last Update Date | 27/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.