Individual
KELLY OVERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2400 E LINCOLN ST, BIRMINGHAM, MI 48009-7102
(970) 844-0202
Mailing address
2400 E LINCOLN ST, BIRMINGHAM, MI 48009-7102
(248) 940-2050
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008032
MI
Other
Enumeration date
02/01/2024
Last updated
03/02/2024
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