Individual
ALYSSA DAWN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
204 OAK DR S, LAKE JACKSON, TX 77566-5628
(979) 297-0425
Mailing address
957 MILL RD, ANGLETON, TX 77515-9128
(832) 215-0757
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2067876
TX
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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