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1568786739
KELLEY RENEA CARLSON
NEW YORK, NY
NPI
1568786739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 62030102)
Enumeration Date
2010-03-17
Last Update Date
2010-03-17
Business Address
Ms. KELLEY RENEA CARLSON MPT, OMPT
101 W END AVE APT 23D
NEW YORK, NY 10023-6349
Phone number: 248-709-5490
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Mailing Address
Ms. KELLEY RENEA CARLSON MPT, OMPT
101 W END AVE APT 23D
NEW YORK, NY 10023-6349
Phone number: 248-709-5490
Copy
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