| NPI | 1922306927 |
|---|---|
| Other Name | BECKY J KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 37410) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2021-07-20 |