Individual
KELLY WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1129 PROFESSIONAL PARK DR, BRANDON, FL 33511-4887
(813) 876-8771
Mailing address
3325 BAYSHORE BLVD UNIT D14, TAMPA, FL 33629-8830
(312) 485-0614
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
32819
FL
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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