TIMOTHY MICHAEL KELLY, JR.

PROVIDENCE, RI
NPI1437354529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: RI  1484)
Enumeration Date2007-06-19
Last Update Date2007-07-08
Business Address
-- TIMOTHY MICHAEL KELLY, JR. RPT
655 BROAD ST
PROVIDENCE, RI 02907-1444
Phone number: 401-521-2214
Mailing Address
-- TIMOTHY MICHAEL KELLY, JR. RPT
143 SPOFFORD AVE
WARWICK, RI 02888-1816
Phone number: 401-270-6033
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