Individual
JOHN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
10 MIRACLE MILE DR, ROCHESTER, NY 14623-5851
(585) 602-4540
Mailing address
30 SUMMER LN, LEVITTOWN, PA 19055-2209
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
053928
NY
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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