Individual
CAROLINE ASHLYN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2836 LAVISTA RD STE 1B, DECATUR, GA 30033-1300
(678) 894-4410
(678) 894-4409
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016222
GA
Other
Enumeration date
09/01/2022
Last updated
08/17/2023
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