Individual
KELSEY M ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 COUNTY HIGHWAY 1, MOUNT UPTON, NY 13809-2135
(607) 643-9141
Mailing address
802 COUNTY HIGHWAY 1, MOUNT UPTON, NY 13809-2135
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011585
NY
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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