| NPI | 1063548006 |
|---|---|
| Former Name | KELLY V AYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3804) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT21210) |
| 225100000X Physical Therapist (Licence: MA 16545) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-08-12 |