Individual
GLEN AARON KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3802 WADE COBLE DR, BURLINGTON, NC 27215-9765
(336) 538-1522
Mailing address
710 WAGONER RD, ELON, NC 27244-9222
(919) 423-7985
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4734
NC
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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