Individual
KELLY LYNNE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4625 CHURCHILL ST, MOTIONCARE SHOREVIEW MEDICAL CENTER SUITE 204, SHOREVIEW, MN 55126
(651) 484-6735
Mailing address
1920 S 1ST ST, APT 502, MINNEAPOLIS, MN 55454
(612) 333-6012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7789
MN
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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