Individual
ALYSSA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3599 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4252
(904) 345-7600
Mailing address
13444 GRAN BAY PKWY APT 523, JACKSONVILLE, FL 32258-7421
(914) 907-0632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT33152
FL
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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