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Individual

MRS. KELLEY ANNE PELOQUIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC/L

Contact information

Practice address
1100 FOLLY RD, WARRINGTON, PA 18976-1421
(267) 893-3171
(267) 893-3190
Mailing address
422 N MAIN ST, SELLERSVILLE, PA 18960-2110
(267) 429-0141

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003444
PA

Other

Enumeration date
02/20/2006
Last updated
07/08/2007
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