Individual
MATTHEW KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
618 GEORGE WASHINGTON HWY, LINCOLN, RI 02865-4216
(401) 475-6599
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03763
RI
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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