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1598854002
KELLY L BROADWAY
CHARLOTTE, NC
NPI
1598854002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 9753)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- KELLY L BROADWAY PT
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-8484
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Mailing Address
-- KELLY L BROADWAY PT
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-8484
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