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Individual
DR. THERESA KELLY
Active
Individual
DR. THERESA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, MS ED
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00538500
NJ
2251G0304X
Geriatric Physical Therapist
40QA00538500
NJ
2251P0200X
Pediatric Physical Therapist
40QA00538500
NJ
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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