Individual
MRS. KELLY LEE TULLIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
117 BARTLETT ST, MARIETTA, OH 45750-2683
(740) 373-1867
(740) 373-3133
Mailing address
11377 STATE ROUTE 550, FLEMING, OH 45729-5240
(740) 706-3357
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
04264
OH
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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