Individual
DR. KELLY WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9822 NY-16, MACHIAS, NY 14101
(716) 353-8516
Mailing address
62 BEYER PL, BUFFALO, NY 14210-2654
(716) 948-0160
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
0469300N
NY
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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