Individual
ASHLEY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4892
Mailing address
22 ATLANTIC ST APT 1, PORTLAND, ME 04101-5278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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