Individual
MS. CAROLYN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4165 SUNSET BOULEVARD, LOS ANGELES, CA 90027
(323) 669-2118
Mailing address
907 LINCOLN BLVD, UNIT 102, SANTA MONICA, CA 90403-2832
(310) 393-8384
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30200
CA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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