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Individual

MRS. MYRIAM KELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
15 DEERWOOD DR, WILLIAMSVILLE, NY 14221-1614
(716) 440-5811
Mailing address
15 DEERWOOD DR, WILLIAMSVILLE, NY 14221-1614
(716) 440-5811

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
014642
NY

Other

Enumeration date
07/29/2008
Last updated
07/29/2008
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