Individual
KELLY STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 DOGWOOD DR, PHILIPSBURG, PA 16866-1982
(814) 342-8400
Mailing address
1294 BLUE SPRUCE RD, PHILIPSBURG, PA 16866-8331
(814) 592-7842
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000914
PA
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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