Individual
KIT PELLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 LEXINGTON GREEN LN, SANFORD, FL 32771-1013
(407) 322-3442
Mailing address
1200 LEXINGTON GREEN LN, SANFORD, FL 32771-1013
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27853
FL
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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