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Individual
KELLY ANN BEBBER
Active
Individual
KELLY ANN BEBBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6395
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT6395
LICENSE NUMBER
FL
Enumeration date
07/16/2009
Last updated
07/16/2009
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