KELLY JANE TANGEN

TAMPA, FL
NPI1083710461
Former NameKELLY THERIAULT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT21694)
Enumeration Date2006-09-15
Last Update Date2014-06-02
Business Address
-- KELLY JANE TANGEN P.T.
3903 NORTHDALE BLVD STE 111W
TAMPA, FL 33624-1864
Phone number: 813-418-7350
Mailing Address
-- KELLY JANE TANGEN P.T.
3903 NORTHDALE BLVD STE 111W
TAMPA, FL 33624-1864
Phone number: 813-418-7350
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