Individual
MISS QUINCIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1027 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3215
(870) 424-4550
(870) 424-4558
Mailing address
PO BOX 587, MOUNTAIN HOME, AR 72654-0587
(870) 424-4550
(870) 424-4558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3997
AR
2251X0800X
Orthopedic Physical Therapist
PT 3997
AR
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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