Individual
ANNA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
614 CATHERINE CT, WOOD DALE, IL 60191-2327
(224) 440-3428
Mailing address
614 CATHERINE CT, WOOD DALE, IL 60191-2327
(224) 440-3428
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007250
IL
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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