Individual
MRS. CHRISTINE M KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
135 DODGE ST, PROVIDENCE, RI 02907-2210
(401) 521-9600
Mailing address
135 DODGE ST, PROVIDENCE, RI 02907-2210
(401) 521-9600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00554
RI
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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