Individual
KELLY L TOMASELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1616 CAPE CORAL PKWY W STE 102, PMB 125, CAPE CORAL, FL 33914-8911
(315) 723-7279
Mailing address
1616-102 W CAPE CORAL PKWY, PMB 125, CAPE CORAL, FL 33914
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 19521
FL
Other
Enumeration date
07/30/2007
Last updated
09/25/2007
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