| NPI | 1750460028 |
|---|---|
| Former Name | DESNE LEE KELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20131) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10001541) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |