Individual
JACQUELINE CARLA KELLY-GALLELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1161 BURNT TAVERN RD, BRICK, NJ 08724
(732) 458-1755
(732) 458-6408
Mailing address
11 EAGLE ROCK AVE, EAST HANOVER, NJ 07936-3167
(973) 887-9000
(973) 887-3816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01428300
NJ
Other
Enumeration date
12/15/2011
Last updated
05/18/2018
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