Individual
JAMES KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8937 WOODMAN WAY, SACRAMENTO, CA 95826-2140
(916) 715-9479
Mailing address
8937 WOODMAN WAY, SACRAMENTO, CA 95826-2140
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
AT 9303
CA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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