Individual
LINDA ROCHELLE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2 WYNONA ST, FORT SMITH, AR 72901-6555
(479) 739-5438
Mailing address
2 WYNONA ST, FORT SMITH, AR 72901-6555
(479) 739-5438
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3781
AR
Other
Enumeration date
07/13/2014
Last updated
07/13/2014
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