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Individual

KELLY CARRERA

Active
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Individual

KELLY CARRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
IL
2251X0800X
Orthopedic Physical Therapist
070020671
IL

Other

Enumeration date
04/01/2014
Last updated
10/05/2022
About Stedi
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  • EDI platform