Individual
KELSEY HANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
386 W BROADWAY FL 1, SOUTH BOSTON, MA 02127-2215
(617) 752-4672
(617) 752-4643
Mailing address
60 TASSI DR, MARLBOROUGH, MA 01752-2173
(978) 460-7024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24991
MA
225100000X
Physical Therapist
LPT-33195
AZ
Other
Enumeration date
11/03/2020
Last updated
01/09/2025
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