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1497055008
JOHN PETER KELLY
KINGS PARK, NY
NPI
1497055008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 014000)
Enumeration Date
2010-10-28
Last Update Date
2010-10-28
Business Address
Mr. JOHN PETER KELLY OTR/L
21 DOROTHY LN
KINGS PARK, NY 11754-2932
Phone number: 631-265-3168
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Mailing Address
Mr. JOHN PETER KELLY OTR/L
21 DOROTHY LN
KINGS PARK, NY 11754-2932
Phone number:
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