Individual
JUSTIN ARTHUR KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7264 FRIEDRICH RD, ROGERS CITY, MI 49779-9534
(989) 619-6258
Mailing address
7264 FRIEDRICH RD, ROGERS CITY, MI 49779-9534
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
23204
FL
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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