Individual
MS. CELINE MARY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12220 BRUCE B DOWNS BLVD, TAMPA, FL 33612-9201
(813) 631-5027
Mailing address
904 WOODCLIFF AVE, TAMPA, FL 33613-1017
(813) 265-3697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 4015
FL
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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