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1770109449
MICHAEL COBB KELLY
ZACHARY, LA
NPI
1770109449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 10619)
Enumeration Date
2020-06-18
Last Update Date
2020-06-18
Business Address
Mr. MICHAEL COBB KELLY DPT
1219 CHURCH ST
ZACHARY, LA 70791-2347
Phone number: 225-658-7751
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Mailing Address
Mr. MICHAEL COBB KELLY DPT
1219 CHURCH ST
ZACHARY, LA 70791-2347
Phone number: 225-658-7751
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