KELLIE BLEVINS

CARMICHAEL, CA
NPI1962890921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT3525)
Enumeration Date2014-12-29
Last Update Date2014-12-29
Business Address
-- KELLIE BLEVINS
2540 CARMICHAEL WAY
CARMICHAEL, CA 95608-5314
Phone number: 916-482-0465
Mailing Address
-- KELLIE BLEVINS
3321 OSELOT WAY
RANCHO CORDOVA, CA 95670-6980
Phone number: 916-606-1443