Individual
KELLY LYNN BARR
Active
Individual
KELLY LYNN BARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1101061
TX
2251P0200X
Pediatric Physical Therapist
Primary
1101061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063255601
—
TX
Enumeration date
01/05/2007
Last updated
09/25/2024
Update your record
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