| NPI | 1497257232 |
|---|---|
| Former Name | ALEXANDRA LEE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35883) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018579) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2025-04-16 |