Andrasik, Kelly Lynn

Andrasik, Kelly Lynn is an individual health care provider with primary practice located at 725 Welch Rd Rehabilitation Services - 3Rd Floor, Palo Alto CA 94304-1601. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Andrasik, Kelly Lynn can be contacted via phone (650) 497-8218.

Contact Information

Primary practice address
725 Welch Rd Rehabilitation Services - 3Rd Floor Palo Alto CA 94304-1601
Phone: (650) 497-8218
Fax: (650) 497-8491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 11652 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 238537 Oregon

Profile Details

NPI number 1932470275
LBN Legal business name Andrasik, Kelly Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2012
Last updated Jan 18th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932470275 NPPES
California MEDICAID 053305

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