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Individual
KELLY SPEERS
Active
Individual
KELLY SPEERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01915200
NJ
225100000X
Physical Therapist
PT027717
PA
Other
Enumeration date
05/30/2019
Last updated
08/20/2020
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