Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Kelley

Individual provider Occupational Therapy Assistant · NPI 1073857116

Mary Kelley is an Occupational Therapy Assistant in Southgate, Michigan. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

19401 Northline Rd
Southgate, MI 48195-2277
Phone: (734) 785-7718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X

Record details

NPI number1073857116
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012
Mailing address1394 Philomene Blvd, Lincoln Park, MI 48146-2315

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