Individual
MRS. KELLY ANN MAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5979 VINELAND RD, 304, ORLANDO, FL 32819-7800
(407) 354-3906
(407) 354-3907
Mailing address
2301 LAKE DEBRA DR, 135, ORLANDO, FL 32835-6641
(407) 405-3828
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 20325
FL
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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