Individual
ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15023 21 MILE RD, SHELBY TWP, MI 48315-5024
(586) 286-9644
Mailing address
20927 GARRISI CT, CLINTON TWP, MI 48038-6431
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
55020045640
MI
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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