Individual
MARIE A KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
55 N ROUTE 9W, WEST HAVERSTRAW, NY 10993-1127
(845) 786-4162
(845) 786-4031
Mailing address
335 OAK DR, NEW WINDSOR, NY 12553-5808
(845) 496-7240
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5921-1
NY
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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