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1205460219
PATRICK KELLISH
WESTFIELD, NJ
NPI
1205460219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40qa01916600)
Enumeration Date
2020-02-28
Last Update Date
2020-02-28
Business Address
PATRICK KELLISH
105 ELM ST
WESTFIELD, NJ 07090-3143
Phone number: 908-264-7503
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Mailing Address
PATRICK KELLISH
576 BROADHOLLOW RD
MELVILLE, NY 11747-5002
Phone number: 631-359-5859
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