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Individual

MEGAN CLARE KELLY

Active
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Individual

MEGAN CLARE KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, D.P.T

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0011799
CO
225100000X
Physical Therapist
10222
AZ
225100000X
Physical Therapist
Primary
PT60482651
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038329
—
WA
01
—
328951
WA L&I
WA
Enumeration date
07/23/2012
Last updated
05/03/2016
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