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NPI Code Detail

MEDICARE: KELSEY ELIZABETH FALLON OTR

MEDICARE: KELSEY ELIZABETH FALLON OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT23951FL

General Provider Information

NPI Number : 1326745167
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY ELIZABETH FALLON OTR
Provider Business Mailing Address
First Line : 3955 INDIAN RIVER BLVD STE 100
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4845
Country : US
Telephone Number : 772-569-2330
Fax Number : 772-569-2630
Provider Business Practice Location Address
First Line : 3955 INDIAN RIVER BLVD STE 100
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4845
Country : US
Telephone Number : 772-569-2330
Fax Number : 772-569-2630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2023
Last Update Date : 01/14/2026

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Directions to “ KELSEY ELIZABETH FALLON OTR” Practice Location

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