Individual
MISS KELLY L CANADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3416 S DALE MABRY HWY, TAMPA, FL 33629-8639
(813) 837-3060
(813) 837-3080
Mailing address
900 HULL ST S, GULFPORT, FL 33707-2461
(727) 641-3755
(813) 837-3080
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
19217
FL
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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