Individual
KELLI ORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
500 CLINIC DR, CEDAR BLUFF, VA 24609-9406
(276) 596-9750
Mailing address
836 FINCASTLE ESTS, LEBANON, VA 24266-6084
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602884
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2306602884
—
VA
Enumeration date
02/09/2023
Last updated
02/09/2023
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