| NPI | 1841749769 |
|---|---|
| Former Name | KELLY JEAN MCGINTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT010587L) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: DE J10001226) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |