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Individual

MRS. KELLY MYOTT BIGELOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
17512 SHADY RD, LEWES, DE 19958-6236
(302) 444-8318
Mailing address
17512 SHADY RD, LEWES, DE 19958-6236
(302) 444-8318

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
21011
MD
225100000X
Physical Therapist
Primary
J1-0014884
DE

Other

Enumeration date
03/28/2006
Last updated
06/03/2024
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