Individual
EMILY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E LANCASTER AVE STE 205, ARDMORE, PA 19003-3209
(484) 297-6491
Mailing address
475 ALLENDALE RD STE 206, KING OF PRUSSIA, PA 19406-1495
(610) 270-0370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019366
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3528774000
PERSONAL CHOICE/KEYSTONE (IBC)
PA
Enumeration date
05/16/2008
Last updated
02/09/2021
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