Kelly Gantt
Kelly Gantt is an Occupational Therapist in Odenton, Maryland. Licensed in Maryland. Registered with an NPI since 2018.
- Licensed in
- MD
- In the registry since
- 2018
Practice location Address checks out
1110 Town Center BlvdOdenton, MD 21113-1233
Phone: (410) 672-8094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 05996 (MD) |
|---|
Record details
| NPI number | 1245725522 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 28, 2018 |
| Last updated in NPPES | June 23, 2020 |
| Certification date | June 23, 2020 |
| Mailing address | 1110 Town Center Blvd Ste I, Odenton, MD 21113-1232 |
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