Individual
MRS. KELLY YVONNE KLOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
504 MILL RD, EAST AURORA, NY 14052-2831
(716) 239-1454
Mailing address
504 MILL RD, EAST AURORA, NY 14052-2831
(716) 239-1454
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
014602
NY
Other
Enumeration date
03/27/2008
Last updated
07/23/2013
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