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Individual

MS. LISA H KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
5334 OLYMPIC DR NW, SUITE 101, GIG HARBOR, WA 98335-1722
(253) 853-5155
(253) 853-5150
Mailing address
5334 OLYMPIC DR NW, SUITE 101, GIG HARBOR, WA 98335-1722
(253) 853-5155
(253) 853-5150

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005613
WA

Other

Enumeration date
12/01/2006
Last updated
07/08/2007
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