Individual
MRS. KELLY MAKAY WININGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2001 RIDGEWOOD DR, SALEM, VA 24153-7126
(540) 378-4120
(540) 378-4121
Mailing address
2716 MILLWHEEL DR, SALEM, VA 24153
(423) 767-5689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205542
VA
Other
Enumeration date
03/13/2007
Last updated
04/23/2009
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