CHARLES KELLY

ROUND ROCK, TX
NPI1922588292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2139360)
Enumeration Date2018-08-16
Last Update Date2018-08-18
Business Address
CHARLES KELLY
401 OAKWOOD BLVD
ROUND ROCK, TX 78681
Phone number: 512-388-7494
Mailing Address
CHARLES KELLY
401 OAKWOOD BLVD
ROUND ROCK, TX 78681-4067
Phone number: