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Individual

MRS. KELLEY MEEHAN PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, PCS

Contact information

Practice address
10 SUNDANCE CT, TROPHY CLUB, TX 76262-5203
(817) 488-8833
(817) 488-8834
Mailing address
10 SUNDANCE CT, TROPHY CLUB, TX 76262-5203
(817) 807-8898
(817) 488-8834

Taxonomy

Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
1160453
TX
2251P0200X
Pediatric Physical Therapist
Primary
1160453
TX

Other

Enumeration date
04/11/2011
Last updated
03/28/2023
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