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General NPI Number Information
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NPI Number | 1376432146
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Entity Type | Individual
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Provider Name | KELSEY ANNE GATELY OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/28/2025
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 610 MANTON AVE
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City | PROVIDENCE
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State | RI
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Zip | 02909-5633
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Country | US
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Telephone | 401-525-2380
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Fax |
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Provider Business Mailing Address
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Address Line | 1070 PARK AVE
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City | WOONSOCKET
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State | RI
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Zip | 02895-6529
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT02205
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License Number State | RI
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