Individual
KELLY MCNABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 JUDY DR, BLANDON, PA 19510-9758
(610) 451-5710
Mailing address
108 JUDY DR, BLANDON, PA 19510-9758
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003805
PA
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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