Individual
MRS. KELLY LYN ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15505 PALMIRA AVE, #A, CORPUS CHRISTI, TX 78418-6785
(361) 947-4425
(361) 949-0547
Mailing address
PO BOX 18801, CORPUS CHRISTI, TX 78480-8801
(361) 947-4225
(361) 949-0547
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2041838
TX
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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