Individual
KELLY BURCH ABRAJANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2646 EVINRUDE DR, GRAPEVINE, TX 76051-2512
(310) 619-4826
Mailing address
2646 EVINRUDE DR, GRAPEVINE, TX 76051-2512
(310) 619-4826
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1122620
TX
Other
Enumeration date
05/04/2009
Last updated
07/27/2023
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