Individual
KELLY DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10 JEAN AVE STE 10, CHELMSFORD, MA 01824-1740
(978) 441-9452
(978) 454-9292
Mailing address
885 MAIN ST STE 4, TEWKSBURY, MA 01876-1800
(978) 851-8768
(978) 851-8606
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17044
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0702765
—
MA
Enumeration date
11/02/2005
Last updated
07/13/2023
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