Individual
KELSEY WORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD STE 774, PORT ORANGE, FL 32128-8321
(888) 265-2680
Mailing address
57 WOODLAND RD, PRINCETON, ME 04668-3158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2150938
TX
225200000X
Physical Therapy Assistant
Primary
A04066
KY
225200000X
Physical Therapy Assistant
PA4499
ME
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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