KELLY A. LIVELY

BRISTOL, RI
NPI1417119249
Former NameKELLY TUCCILO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: RI  PT00693)
Enumeration Date2008-07-02
Last Update Date2008-07-02
Business Address
-- KELLY A. LIVELY P.T.
1180 HOPE ST
BRISTOL, RI 02809-1126
Phone number: 401-254-1105
Mailing Address
-- KELLY A. LIVELY P.T.
PO BOX 20372
CRANSTON, RI 02920-0944
Phone number: 401-785-1016
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