Individual
DR. KELLY BROMLEY LEGACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
15 TOWN WEST RD, PLYMOUTH, NH 03264-3428
(603) 536-2941
(603) 536-2949
Mailing address
9 RESERVOIR HTS, PLYMOUTH, NH 03264-3437
(603) 536-2567
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2836
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30392279
—
NH
Enumeration date
02/08/2006
Last updated
01/16/2008
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