Individual
KELLI WHITSITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSR, PT
Contact information
Practice address
1535 BARQUENTINE DR, MOUNT PLEASANT, SC 29464-4900
(843) 270-1594
Mailing address
1535 BARQUENTINE DRIVE, MOUNT PLEASANT, SC 29464
(843) 270-1594
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5588
SC
Other
Enumeration date
10/15/2007
Last updated
01/08/2008
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