Individual
KELLY AVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(443) 504-3389
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0011981
CO
Other
Enumeration date
12/21/2012
Last updated
04/02/2025
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