Individual
KELLE E RORRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12276 SAN JOSE BLVD, SUITE 508, JACKSONVILLE, FL 32223-8628
(904) 886-3228
(904) 886-3297
Mailing address
12276 SAN JOSE BLVD, SUITE 508, JACKSONVILLE, FL 32223-8628
(904) 886-3228
(904) 886-3297
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 4161
FL
2251P0200X
Pediatric Physical Therapist
Primary
PT 4161
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884000800
—
FL
Enumeration date
02/24/2011
Last updated
02/24/2011
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