| NPI | 1043483662 |
|---|---|
| Former Name | KELLEY ANNE HERSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC SC3029) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 15094) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2023-02-09 |