Provider Demographics
NPI:1184038010
Name:CABRERA, KELLI ANNE (OTD, OTR/L, CHT)
Entity type:Individual
Prefix:DR
First Name:KELLI
Middle Name:ANNE
Last Name:CABRERA
Suffix:
Gender:F
Credentials:OTD, OTR/L, CHT
Other - Prefix:MS
Other - First Name:KELLI
Other - Middle Name:ANNE
Other - Last Name:LARAMEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L, CHT
Mailing Address - Street 1:1154 SALTY HAMMOCK CT
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-5287
Mailing Address - Country:US
Mailing Address - Phone:413-561-6105
Mailing Address - Fax:
Practice Address - Street 1:1154 SALTY HAMMOCK CT
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-5287
Practice Address - Country:US
Practice Address - Phone:413-561-6105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-18
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11097225X00000X
FLOT19433225X00000X
SC6687225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist