Individual
KELLY HAVLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, MBA
Contact information
Practice address
21225 LORAIN RD, CLEVELAND, OH 44126-2120
(440) 331-3180
Mailing address
1563 CORDOVA AVE, LAKEWOOD, OH 44107-3603
(440) 665-4473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019368
OH
Other
Enumeration date
12/01/2022
Last updated
07/25/2024
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