KELLY L REILLY GARDNER

LONG BEACH, CA
NPI1922333624
Former NameKELLY L HUFFMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  1807)
Enumeration Date2009-10-14
Last Update Date2009-10-14
Business Address
-- KELLY L REILLY GARDNER COTA/L
4211 E 4TH ST APT 9
LONG BEACH, CA 90814-4912
Phone number: 562-355-2719
Mailing Address
-- KELLY L REILLY GARDNER COTA/L
4211 EAST 4TH STREET #9
LONG BEACH, CA 90814
Phone number: 562-355-2719