Individual
KELLY JEAN CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 WEBER LN, COLUMBUS, NC 28722-8510
(828) 863-4278
Mailing address
450 WEBER LN, COLUMBUS, NC 28722-8510
(828) 863-4278
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1201
NC
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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