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1134675119
KELSEY LAKE
ORANGE PARK, FL
NPI
1134675119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2016-08-30
Last Update Date
2021-11-10
Business Address
KELSEY LAKE DPT
784 BLANDING BLVD STE 108
ORANGE PARK, FL 32065-7724
Phone number: 904-264-2636
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Mailing Address
KELSEY LAKE DPT
360 RIVER REACH RD
FLEMING ISLAND, FL 32003-8184
Phone number: 301-767-7436
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