Individual
JILL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
615 RIDGE RD, ROXBORO, NC 27573-4629
(336) 599-2121
Mailing address
615 RIDGE RD, ROXBORO, NC 27573-4629
(336) 599-2121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1899
NC
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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