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Individual

MR. JOSHUA KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3410 W PITTSBURG RD, NEW CASTLE, PA 16101-5970
(724) 658-4781
Mailing address
5938 WASHINGTON AVE, HUBBARD, OH 44425-1840

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306603221
VA
225200000X
Physical Therapy Assistant
Primary
TE009187
PA

Other

Enumeration date
01/24/2012
Last updated
01/24/2012
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