Individual
EILEEN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1871 ROUTE 70 E, CHERRY HILL, NJ 08003-2020
(856) 424-4240
(856) 424-3824
Mailing address
PO BOX 8566, CHERRY HILL, NJ 08002-0566
(856) 663-7080
(856) 663-4945
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA00752000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QA07520
STATE LICENSE NUMBER
NJ
Enumeration date
05/26/2006
Last updated
10/02/2024
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