Individual
MRS. KELLY L PURDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
911 N SHELBY ST, SALEM, IN 47167-2304
(812) 883-8520
(812) 883-8598
Mailing address
911 N SHELBY ST, SALEM, IN 47167-2304
(812) 883-8520
(812) 883-8598
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005067A
IN
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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