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KELLEY PACILLO OTR/L

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1013309780

Individual Registrant:
 KELLEY  PACILLO OTR/L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1412 N BRINDLEE MOUNTAIN PKWY  ARAB, AL 35016-5431 US
Tel: 256-931-2013  Fax: 256-931-2014

Contact information for business:
251 JOHNSTON ST SE STE 300  DECATUR, AL 35601-2515 US
Tel: 256-340-9708  Fax: 256-340-9624

Registration Information:
NPI: 1013309780
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
AL3961

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
529917620AL05
GROUP NPI1003819608AL01




HEALTH CARE JOBS AL - Page 1



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