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1043649239
DEREK KELLY
CHARLOTTE, NC
NPI
1043649239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 14094)
Enumeration Date
2013-11-07
Last Update Date
2018-03-17
Business Address
DEREK KELLY PT/AOP
3800 SHAMROCK DR
CHARLOTTE, NC 28215-3220
Phone number: 704-532-5462
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Mailing Address
DEREK KELLY PT/AOP
4833 MEADOWRIDGE DR
CHARLOTTE, NC 28226-1214
Phone number: 704-999-4734
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