Individual
MS. GLORIA ANN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
220 W. SECOND, SPANGLE, WA 99031-0145
(509) 245-3377
Mailing address
PO BOX 145, SPANGLE, WA 99031-0145
(509) 245-3377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 00001020
WA
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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