KELLY MARIE ATHAIDE

ROANOKE, VA
NPI1760959381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: VA  0119007836)
Enumeration Date2018-11-01
Last Update Date2018-11-01
Business Address
KELLY MARIE ATHAIDE OT
1421 3RD ST SW
ROANOKE, VA 24016-5204
Phone number: 540-982-2208
Mailing Address
KELLY MARIE ATHAIDE OT
4511 CRESTHILL DR
ROANOKE, VA 24018-2909
Phone number: