Individual provider · Type 1 NPI

Kelly Ann Servello, OTR

Specialist · Ilion, NY

NPI number 1912217027 Active

Practice location

63 S 5th Ave
Ilion, NY 13357-2017

Fax (315) 895-0062

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X009449-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1912217027

Kelly Ann Servello, OTR's National Provider Identifier is 1912217027, issued on Oct 8, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ilion, NY. The record was last updated on Oct 8, 2010.