Individual
REBECCA COLLINS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1014 WADE HAMPTON BLVD STE 6, GREENVILLE, SC 29609-5061
(864) 203-3883
Mailing address
302 RAVEN RD, GREENVILLE, SC 29615-4248
(864) 304-2774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2945
SC
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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