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Individual
KELSEA JORDAN HOMAN
Active
Individual
KELSEA JORDAN HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
298541
CA
225100000X
Physical Therapist
40QA01821000
NJ
225100000X
Physical Therapist
PTH9242
AL
Other
Enumeration date
09/20/2018
Last updated
10/08/2020
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