Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY ANNE FONVILLE, MS OTR IL
Active Sole ProprietorMRS. KELLY ANNE FONVILLE, MS OTR IL is a Pediatric Occupational Therapist healthcare provider located in CONOVER, North Carolina. NPI 1063484889 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · CONOVER, NC
Registration Details
- NPI Number
- 1063484889
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2006 (20.533071174581 yrs)
- Last Updated
- Jul 25, 2007
- License
-
5956 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3301 OVERBROOK DRCONOVER, NC, 286138227Browse NC providers · Browse ZIP 28613
- Phone
- 8282569488
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in CONOVER, NC
| Name | Credential | NPI |
|---|---|---|
| SHEREE BURGESS DIXON | OTR | 1912026659 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.