Individual
MS. KELLY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
300 E COLLEGE AVE, SALISBURY, MD 21804-6599
(410) 677-5141
(410) 677-5126
Mailing address
300 E COLLEGE AVE, SALISBURY, MD 21804-6599
(410) 677-5141
(410) 677-5126
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000347
MD
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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