Most Relevant Information
Provider Data
| NPI Number: | 1003029091 |
| Provider Name: | SUSAN EVE KELLY MPA,OTL |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 0887 |
Most Important Dates
| Enumeration Date: | 05/07/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
79 BLUEBERRY LA
LACONIA
NH
03246
Practice Location Phone/Fax
| Phone: | 6035243340 |
| Fax: |
Provider Mailing Location
207 FORT POINT RD
ALTON BAY
NH
038106071
Provider Mailing Phone/Fax
| Phone: | 6038752523 |
| Fax: |