| NPI | 1295156594 |
|---|---|
| Former Name | KELLY L DOYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 037470) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY P91676) |
| Enumeration Date | 2014-01-04 |
| Last Update Date | 2021-12-10 |