Individual
DEVAMON KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 S HIGHLAND AVE STE L10, LOMBARD, IL 60148-4932
(630) 873-8863
Mailing address
1002 CIRCLE AVE APT 1, FOREST PARK, IL 60130-2884
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.010281
IL
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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