Individual
AMANDA KATHRYN KELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 MAIN STREET EXT STE 100, MIDDLETOWN, CT 06457-3865
(860) 740-3087
Mailing address
5211 TOWN PL, MIDDLETOWN, CT 06457-1759
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14.012143
CT
225100000X
Physical Therapist
40QA01707900
NJ
Other
Enumeration date
11/28/2016
Last updated
03/14/2025
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