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Individual

MRS. CONNIE L KELLY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
601 NEW RD, LINDWOOD, NJ 08221-1251
(609) 926-1161
(601) 926-1161
Mailing address
601 NEW RD, LINDWOOD, NJ 08221-1251
(609) 926-1161
(609) 926-3223

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
40QB00121000
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
40QB00121000
NJ
225200000X
Physical Therapy Assistant
40QB00121000
NJ

Other

Enumeration date
04/19/2006
Last updated
09/11/2025
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