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1881071694
KELLY CREWS GARDNER
LYNCHBURG, VA
NPI
1881071694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306001824)
Enumeration Date
2015-04-30
Last Update Date
2015-04-30
Business Address
Mrs. KELLY CREWS GARDNER LPTA
53 ADDIE WAY
LYNCHBURG, VA 24501-7255
Phone number: 434-444-0637
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Mailing Address
Mrs. KELLY CREWS GARDNER LPTA
53 ADDIE WAY
LYNCHBURG, VA 24501-7255
Phone number: 434-444-0637
Copy
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