Individual
MISS CARLY RAE GELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(203) 834-3083
(800) 970-5001
Mailing address
12901 NE 28TH ST APT 226, VANCOUVER, WA 98682-1284
(360) 880-5657
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
8683
OR
225200000X
Physical Therapy Assistant
Primary
P1 60190917
WA
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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