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1134120116
LISA KELLY
PHILADELPHIA, PA
NPI
1134120116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: PA PT009484-L)
Enumeration Date
2005-08-02
Last Update Date
2022-10-13
Business Address
LISA KELLY PT,CERT.MDT,COMT
420 BAINBRIDGE ST
PHILADELPHIA, PA 19147-1568
Phone number: 215-629-1270
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Mailing Address
LISA KELLY PT,CERT.MDT,COMT
28 COUNTRY LN
GLEN MILLS, PA 19342-1436
Phone number: 610-724-8708
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