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1023502739
KELLY ANNE PENN
MACOMB, MI
NPI
1023502739
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Former Name
KELLY ANNE FREATHY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501018575)
Enumeration Date
2018-06-15
Last Update Date
2018-06-15
Business Address
KELLY ANNE PENN PT, DPT
15959 HALL RD STE 410
MACOMB, MI 48044-5365
Phone number: 586-416-6290
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Mailing Address
KELLY ANNE PENN PT, DPT
23683 HARVARD SHORE DR
CLINTON TWP, MI 48035-4342
Phone number:
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