Individual
KELLY DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
181 TOWN CREEK RD, AIKEN, SC 29803-5841
(803) 642-0700
(803) 642-0588
Mailing address
181 TOWN CREEK RD, AIKEN, SC 29803-5841
(803) 642-0700
(803) 642-0588
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
09237R
LA
225100000X
Physical Therapist
Primary
10758
SC
225100000X
Physical Therapist
13326-24
WI
225100000X
Physical Therapist
62 039028
NY
Other
Enumeration date
03/31/2016
Last updated
07/02/2021
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