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Contact Information

PATRICK KELLY, COTA
52565 SR 933
SOUTH BEND, IN46637
 Phone: 574-247-7044
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for PATRICK KELLY · (Male)

NPI # 1831572478
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 07/01/2015
Last updated 07/01/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 32001291A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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