Individual
DEVIN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
44 DALE RD STE 203, AVON, CT 06001-4351
(860) 674-1713
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14732
CT
225200000X
Physical Therapy Assistant
9662
MA
Other
Enumeration date
10/08/2019
Last updated
12/26/2024
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