Individual
AMANDA ANSLEY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 EAGLE ROCK AVE STE 154, EAST HANOVER, NJ 07936-3168
(120) 144-7477
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5700
(781) 744-5358
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA11767700
NJ
Other
Enumeration date
06/17/2019
Last updated
11/16/2023
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