Individual
KELSIE CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
701 PLATINUM PT, LAKE MARY, FL 32746-4871
(407) 338-3161
Mailing address
1008 S MILLS AVE APT B, ORLANDO, FL 32806-1372
(407) 285-7157
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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