Individual
KELLEY CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8650 GOVERNORS HILL DR, CINCINNATI, OH 45249-1372
(513) 791-5766
Mailing address
211 KENWOOD DR, MIDDLETOWN, OH 45042-3528
(513) 423-9669
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5520
OH
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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