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1396471397
KELLY MARTIN
PETERSBURG, VA
NPI
1396471397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2022-08-01
Last Update Date
2022-08-01
Business Address
KELLY MARTIN
3335 S CRATER RD
PETERSBURG, VA 23805-9396
Phone number: 805-201-5111
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Mailing Address
KELLY MARTIN
267 ANZIO RD APT A
FORT LEE, VA 23801-1392
Phone number: 805-201-5111
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