Neal, Kelli M

Neal, Kelli M is an individual health care provider with primary practice located at 3401 Maple Grove Dr St Marys Care Center, Madison WI 53719-5013. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Neal, Kelli M can be contacted via phone (608) 845-1000.

Contact Information

Primary practice address
3401 Maple Grove Dr St Marys Care Center Madison WI 53719-5013
Phone: (608) 845-1000
Fax: (608) 845-1001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 1209027 Wisconsin

Profile Details

NPI number 1780889600
LBN Legal business name Neal, Kelli M
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated May 13th, 2008 - about 17 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 1780889600 NPPES
Wisconsin MEDICAID 40827500

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