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1265070528
NIYYAH KELLY
MILLBURN, NJ
NPI
1265070528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01909200)
Enumeration Date
2019-12-18
Last Update Date
2019-12-18
Business Address
NIYYAH KELLY
187 MILLBURN AVE
MILLBURN, NJ 07041-1847
Phone number: 973-467-7976
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Mailing Address
NIYYAH KELLY
576 BROADHOLLOW RD
MELVILLE, NY 11747-5002
Phone number: 631-359-5859
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