Individual
SUSAN KRINA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
23 BERNON DR, LINCOLN, RI 02865-2329
(401) 316-4242
Mailing address
23 BERNON DR, LINCOLN, RI 02865-2329
(401) 316-4242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01544
RI
Other
Enumeration date
02/01/2021
Last updated
02/10/2021
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