DEREK KELLY

CHARLOTTE, NC
NPI1043649239
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  14094)
Enumeration Date2013-11-07
Last Update Date2018-03-17
Business Address
DEREK KELLY pt/Aop
3800 SHAMROCK DR
CHARLOTTE, NC 28215-3220
Phone number: 704-532-5462
Mailing Address
DEREK KELLY pt/Aop
4833 MEADOWRIDGE DR
CHARLOTTE, NC 28226-1214
Phone number: 704-999-4734