Individual
BETH ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
238 STREET RD, SOUTHAMPTON, PA 18966-3172
(215) 364-2550
(215) 364-4456
Mailing address
238 STREET RD, SOUTHAMPTON, PA 18966-3172
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003029L
PA
Other
Enumeration date
08/02/2009
Last updated
08/02/2009
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