Individual
MR. BRYAN DAVID KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MS
Contact information
Practice address
185 ROUTE 312, SUITE 301B, BREWSTER, NY 10509-2337
(845) 279-9288
Mailing address
89 FIRETHORN DR, WAPPINGERS FALLS, NY 12590-7511
(845) 831-6911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021446-1
NY
Other
Enumeration date
08/20/2006
Last updated
10/27/2008
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