Individual
KARLA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5009 GUM TREE LN, JOHNS ISLAND, SC 29455-3501
(843) 560-2305
Mailing address
5009 GUM TREE LN, JOHNS ISLAND, SC 29455-3501
(843) 560-2305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10747
SC
225100000X
Physical Therapist
LPT-31613
AZ
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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