Individual
KELLY WELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3515 PALM HARBOR BLVD, SUITE A, PALM HARBOR, FL 34683-1413
(727) 682-0053
Mailing address
1110 THORNWOOD DR, OLDSMAR, FL 34677-4508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1467
FL
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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