| NPI | 1043731797 |
|---|---|
| Former Name | KELLY A HERMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT31671) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012541A) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2018-10-19 |