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NPI Code Detail

MEDICARE: OLIVIA GRIFFITH KELLY

MEDICARE:   OLIVIA GRIFFITH KELLY
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 TherapistOT.0008487CO

General Provider Information

NPI Number : 1972968253
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA GRIFFITH KELLY
Provider Business Mailing Address
First Line : 3 FARM LN
Second Line :
City : SPERRYVILLE
State : VA
Zip : 22740-2185
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3 FARM LN
Second Line :
City : SPERRYVILLE
State : VA
Zip : 22740-2185
Country : US
Telephone Number : 256-996-3266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2015
Last Update Date : 04/22/2025

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Directions to “ OLIVIA GRIFFITH KELLY ” Practice Location

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