| NPI | 1871730556 |
|---|---|
| Former Name | KAREN E KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 39545) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004346) |
| 225100000X Physical Therapist (Licence: IL 070-017110) | |
| 225100000X Physical Therapist (Licence: AL PTH5857) | |
| 225100000X Physical Therapist (Licence: TX 1194160) | |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2023-12-07 |