SELINA NICOLE KELLISON

OSWEGO, NY
NPI1598015588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  007573-1)
Enumeration Date2012-09-17
Last Update Date2012-09-17
Business Address
Mrs. SELINA NICOLE KELLISON PTA
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
Mailing Address
Mrs. SELINA NICOLE KELLISON PTA
329 MAPLE ST APT. 24
OSWEGO, NY 13126-3459
Phone number: 315-250-7560