Individual
MS. CATHY ROSE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4508 CROTON DR, NEW PORT RICHEY, FL 34652-5166
(727) 849-1707
Mailing address
4508 CROTON DR, NEW PORT RICHEY, FL 34652-5166
(727) 849-1707
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
20060
FL
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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