Individual
JOELLE MARY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
2517 RAEFORD CT, VIRGINIA BEACH, VA 23456-7619
(757) 430-4126
Mailing address
2517 RAEFORD CT, VIRGINIA BEACH, VA 23456-7619
(757) 430-4126
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305207084
VA
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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