Individual
KELLY BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 US HIGHWAY 17 S, ELIZABETH CITY, NC 27909-7628
(252) 338-3975
Mailing address
1075 US HIGHWAY 17 S, ELIZABETH CITY, NC 27909-7628
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2755
NC
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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