Individual
LISA JEAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
325 S BROOKSIDE DR, OXFORD, PA 19363-1192
(610) 998-9308
Mailing address
325 S BROOKSIDE DR, OXFORD, PA 19363-1192
(610) 998-9308
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE000715L
PA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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