Individual
KELLY RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
150 N MILLER RD STE 150A, FAIRLAWN, OH 44333-3713
(330) 867-2240
Mailing address
150 N MILLER RD STE 150A, FAIRLAWN, OH 44333-3713
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT017582
OH
Other
Enumeration date
08/27/2018
Last updated
10/21/2020
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