LEVELLA KELLY

JACKSON, MS
NPI1366856924
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA4733)
Enumeration Date2014-06-11
Last Update Date2014-06-11
Business Address
-- LEVELLA KELLY PTA
3856 NOBLE ST APT 811
JACKSON, MS 39209-4954
Phone number: 601-473-4992
Mailing Address
-- LEVELLA KELLY PTA
3856 NOBLE ST APT 811
JACKSON, MS 39209-4954
Phone number: 601-473-4992
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