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1821709114
KELLY WHITTAKER
SALEM, VA
NPI
1821709114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305211944)
Enumeration Date
2022-12-08
Last Update Date
2022-12-08
Business Address
KELLY WHITTAKER PT, DPT
1802 BRAEBURN DR
SALEM, VA 24153-7357
Phone number: 540-772-3770
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Mailing Address
KELLY WHITTAKER PT, DPT
815 DAY AVE SW APT 1
ROANOKE, VA 24016-3819
Phone number: 330-858-0336
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