Individual
KELLI THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4089
(610) 347-4922
Mailing address
7832 TEAL DR, NEW PORT RICHEY, FL 34653
(440) 453-0294
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
24879
FL
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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