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Individual
KELLY E CHILDS
Active
Individual
KELLY E CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT011370
OH
225100000X
Physical Therapist
Primary
PT31328
FL
Other
Enumeration date
08/18/2008
Last updated
09/16/2019
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