Individual
GERRY JOSEPH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3704 CHADBURY RD, MOUNT LAUREL, NJ 08054-4247
(856) 630-8124
Mailing address
3704 CHADBURY RD, MOUNT LAUREL, NJ 08054-4247
(856) 630-8124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006389L
PA
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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