Individual
MRS. KELLY NOEL PELLONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13617 OLD FARM DR, TAMPA, FL 33625-6406
(813) 842-6310
Mailing address
13617 OLD FARM DR, TAMPA, FL 33625-6406
(813) 842-6310
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
11/08/2007
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