Individual
JESSICA R KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 ALABAMA AVE, LEAGUE CITY, TX 77573-2615
(281) 332-9588
Mailing address
3460 ASH LN, DEER PARK, TX 77536-5048
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2097615
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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