Individual
MS. KELSEY KRISTINE EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
255 59TH ST N, ST PETERSBURG, FL 33710-8539
(727) 430-6732
Mailing address
255 59TH ST N APT 12, ST PETERSBURG, FL 33710-8539
(727) 430-6732
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30108
FL
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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