KELLY HALL BOUTCHYARD

KITTY HAWK, NC
NPI1801030499
Former NameKELLY ANN BOOTHE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2009-04-27
Last Update Date2014-05-23
Business Address
-- KELLY HALL BOUTCHYARD DPT
5567 N CROATAN HWY
KITTY HAWK, NC 27949-4090
Phone number: 252-261-1556
Mailing Address
-- KELLY HALL BOUTCHYARD DPT
136 CAROLINA CT W
MANTEO, NC 27954-9545
Phone number: 252-338-2114
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SEASIDE PHYSICAL THERAPY LLC