Individual
KELLAN M CARRIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
10 HANCOCK ST, #2, CHARLESTOWN, MA 02129-2522
(315) 867-0669
Mailing address
10 HANCOCK ST, #2, CHARLESTOWN, MA 02129-2522
(315) 867-0669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19393
MA
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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