JON GARRICK KELLEY

DODGE CENTER, MN
NPI1124619390
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MN  201600)
Enumeration Date2021-02-01
Last Update Date2021-02-01
Business Address
JON GARRICK KELLEY COTA
702 10TH AVE NW
DODGE CENTER, MN 55927-9172
Phone number: 507-635-6415
Mailing Address
JON GARRICK KELLEY COTA
702 10TH AVE NW
DODGE CENTER, MN 55927-9172
Phone number: 507-635-6415