Individual
CONNIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 COMPUS RD, GLENVIEW, IL 60026
(877) 787-3430
Mailing address
4013 NE GARDENIA LN, ANKENY, IA 50021-9285
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00008
IA
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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