Keely Pelliccio, OTR/L
Occupational Therapist in Ladson, SC. Individual provider (NPI-1).
NPI number1730769167
StatusActive
Last updated in NPPESFeb 16, 2022
Details
- NPI
- 1730769167
- Entity type
- Individual (NPI-1)
- Name
- Keely Pelliccio
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2021
- Certification date
- Feb 16, 2022
- Last updated
- Feb 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 6127 | SC | Yes |
Other names
- Keely Petrick (Former Name)
Practice location
3851 Commercial Center DrLadson, SC 29456-4146
Phone 843-314-5434
Mailing address
3851 Commercial Center DrLadson, SC 29456-4146
Phone 843-314-5434
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All 82 Occupational Therapist providers in Ladson · All 460 providers in Ladson
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