Individual
KRISTIN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
57 BRINTON DR, NASHUA, NH 03064-1274
(603) 275-3416
Mailing address
57 BRINTON DR, NASHUA, NH 03064-1274
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1031
NH
225200000X
Physical Therapy Assistant
Primary
8404
MA
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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