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1336667419
TYLER R KELLY
ROANOKE, VA
NPI
1336667419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306603738)
Enumeration Date
2017-09-08
Last Update Date
2017-09-08
Business Address
TYLER R KELLY PTA
1421 3RD ST SW
ROANOKE, VA 24016-5204
Phone number: 540-982-2208
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Mailing Address
TYLER R KELLY PTA
1421 3RD ST SW
ROANOKE, VA 24016-5204
Phone number: 540-982-2208
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